Provider Demographics
NPI:1437401569
Name:MEERSCHEIDT, MEGAN DANIELLE (MA, LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:DANIELLE
Last Name:MEERSCHEIDT
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 ROCK SPRING CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-1939
Mailing Address - Country:US
Mailing Address - Phone:979-574-7542
Mailing Address - Fax:979-703-1279
Practice Address - Street 1:707 TEXAS AVE S
Practice Address - Street 2:SUITE 208D
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-1967
Practice Address - Country:US
Practice Address - Phone:979-574-7542
Practice Address - Fax:979-703-1279
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-13
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2554101YM0800X
TX2944106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2554OtherTEXAS LPC LICENSE #
TX2944OtherTEXAS LMFT LICENSE #