Provider Demographics
NPI:1407434327
Name:WASHBURN, MEGAN K (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11211 KATY FWY STE 540
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2124
Mailing Address - Country:US
Mailing Address - Phone:832-303-8933
Mailing Address - Fax:832-383-3817
Practice Address - Street 1:207 ELMHURST
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5981
Practice Address - Country:US
Practice Address - Phone:737-248-7042
Practice Address - Fax:512-519-8781
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20-134794106S00000X
TX90532101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician