Provider Demographics
NPI:1417479627
Name:HERMES, MEGAN GARRETT (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:GARRETT
Last Name:HERMES
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2555 LITTLE BARTONS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND FURNACE
Mailing Address - State:TN
Mailing Address - Zip Code:37051-4736
Mailing Address - Country:US
Mailing Address - Phone:615-351-5702
Mailing Address - Fax:
Practice Address - Street 1:2555 LITTLE BARTONS CREEK RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND FURNACE
Practice Address - State:TN
Practice Address - Zip Code:37051-4736
Practice Address - Country:US
Practice Address - Phone:615-351-5702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3871101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health