Provider Demographics
NPI:1437765674
Name:GASCOIGNE, MEGHAN CATHLEEN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:CATHLEEN
Last Name:GASCOIGNE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 S DOBSON RD STE 115
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-5656
Mailing Address - Country:US
Mailing Address - Phone:480-787-1955
Mailing Address - Fax:
Practice Address - Street 1:1819 S DOBSON RD STE 115
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5656
Practice Address - Country:US
Practice Address - Phone:480-787-1955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ19023366399OtherJOURNEY TO PEACE COUNSELING SERVICES