Provider Demographics
NPI:1275117855
Name:MCKEEGAN COUNSELING, LLC
Entity Type:Organization
Organization Name:MCKEEGAN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:541-566-6641
Mailing Address - Street 1:1123 MAPLE AVE SW STE 210
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3132
Mailing Address - Country:US
Mailing Address - Phone:541-566-6641
Mailing Address - Fax:425-663-4134
Practice Address - Street 1:1123 MAPLE AVE SW STE 210
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3132
Practice Address - Country:US
Practice Address - Phone:541-566-6641
Practice Address - Fax:425-663-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)