Provider Demographics
NPI:1417262544
Name:PICKENS, MEGAN R (LPC-S)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:R
Last Name:PICKENS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:7205 S COOPER ST STE 131
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6750
Mailing Address - Country:US
Mailing Address - Phone:817-617-2638
Mailing Address - Fax:817-840-6416
Practice Address - Street 1:7205 S COOPER ST STE 131
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6750
Practice Address - Country:US
Practice Address - Phone:817-617-2638
Practice Address - Fax:817-840-6416
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64995101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215004702Medicaid
TX215004701Medicaid