Provider Demographics
NPI:1477248128
Name:HUMPHREY, MEGAN CELESTE (LPC-S, LMFT-S)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:CELESTE
Last Name:HUMPHREY
Suffix:
Gender:F
Credentials:LPC-S, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-0161
Mailing Address - Country:US
Mailing Address - Phone:281-413-3370
Mailing Address - Fax:
Practice Address - Street 1:14800 YELLOWLEAF TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-5413
Practice Address - Country:US
Practice Address - Phone:281-413-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health