Provider Demographics
NPI:1679203822
Name:GARCIA, MEGAN LOVE (MED, LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LOVE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 BENSDALE RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-2010
Mailing Address - Country:US
Mailing Address - Phone:830-480-6536
Mailing Address - Fax:
Practice Address - Street 1:704 BENSDALE RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-2010
Practice Address - Country:US
Practice Address - Phone:830-480-6536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-11
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional