Provider Demographics
NPI:1609501881
Name:GARNER, MEGAN ALEXANDRA (MED LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ALEXANDRA
Last Name:GARNER
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ALEXANDRA
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED; LPC
Mailing Address - Street 1:906 S ALAMO RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4115
Mailing Address - Country:US
Mailing Address - Phone:469-323-1092
Mailing Address - Fax:
Practice Address - Street 1:906 S ALAMO RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4115
Practice Address - Country:US
Practice Address - Phone:469-447-8241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82037101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor