Provider Demographics
NPI:1326686189
Name:GARZA, MEGAN R (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:R
Last Name:GARZA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6629 LINDENWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1223
Mailing Address - Country:US
Mailing Address - Phone:314-646-7724
Mailing Address - Fax:
Practice Address - Street 1:3720 HAMPTON AVE STE 201A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-1438
Practice Address - Country:US
Practice Address - Phone:314-477-8015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011011850106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist