Provider Demographics
NPI:1326344862
Name:KRIEBEL, MEGAN M (LMHC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:KRIEBEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 491000
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34749-1000
Mailing Address - Country:US
Mailing Address - Phone:352-315-7537
Mailing Address - Fax:352-315-7587
Practice Address - Street 1:1300 S DUNCAN DR STE E
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4206
Practice Address - Country:US
Practice Address - Phone:352-343-0752
Practice Address - Fax:352-360-6656
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health