Provider Demographics
NPI:1235496613
Name:VOREES, MEGAN EDGE (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:EDGE
Last Name:VOREES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:EDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX D
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-1448
Mailing Address - Country:US
Mailing Address - Phone:706-244-5159
Mailing Address - Fax:
Practice Address - Street 1:768 HIGHWAY 123
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-8686
Practice Address - Country:US
Practice Address - Phone:706-244-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC003089101Y00000X
GALPC008382101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor