Provider Demographics
NPI:1467819607
Name:PULLEY, MEGAN MONTGOMERY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MONTGOMERY
Last Name:PULLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 YOUREE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3600
Mailing Address - Country:US
Mailing Address - Phone:318-675-0804
Mailing Address - Fax:318-425-9030
Practice Address - Street 1:2525 YOUREE DR STE 110
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3600
Practice Address - Country:US
Practice Address - Phone:318-675-0804
Practice Address - Fax:318-425-9030
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5176101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional