Provider Demographics
NPI:1780846170
Name:VANMETER, MEGAN L (ATR-BC, LPC-AT/S, &)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:L
Last Name:VANMETER
Suffix:
Gender:F
Credentials:ATR-BC, LPC-AT/S, &
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E GURLEY ST # 409
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3804
Mailing Address - Country:US
Mailing Address - Phone:512-745-0099
Mailing Address - Fax:
Practice Address - Street 1:303 E GURLEY ST # 409
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-3804
Practice Address - Country:US
Practice Address - Phone:512-745-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62238101YP2500X
PAPC002820101YP2500X
AZLPC-20114101YP2500X
IN39003654A101YM0800X
WI61036221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist