Provider Demographics
NPI:1689910085
Name:JAMES, MEGAN K (LMFT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4248 RACHEL DONELSON PASS
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2257
Mailing Address - Country:US
Mailing Address - Phone:615-473-8912
Mailing Address - Fax:515-473-8912
Practice Address - Street 1:4248 RACHEL DONELSON PASS
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2257
Practice Address - Country:US
Practice Address - Phone:615-473-8912
Practice Address - Fax:515-473-8912
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN644106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist