Provider Demographics
NPI:1710348966
Name:MCCLOSKEY, MEGHAN (LMHC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 N. MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:UPSTAIRS
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303
Mailing Address - Country:US
Mailing Address - Phone:850-274-2418
Mailing Address - Fax:850-414-6876
Practice Address - Street 1:3333 W PENSACOLA ST
Practice Address - Street 2:SUITE 300
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-2888
Practice Address - Country:US
Practice Address - Phone:850-274-2418
Practice Address - Fax:850-414-6876
Is Sole Proprietor?:No
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health