Provider Demographics
NPI:1477110351
Name:DAVENPORT, MEAGAN KAY (LPC, NCC, CSC)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:KAY
Last Name:DAVENPORT
Suffix:
Gender:F
Credentials:LPC, NCC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SOUTHWESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3668
Mailing Address - Country:US
Mailing Address - Phone:281-903-5353
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTHWESTERN BLVD STE 105
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3767
Practice Address - Country:US
Practice Address - Phone:281-903-5353
Practice Address - Fax:281-302-5198
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-25
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78239101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty