Provider Demographics
NPI:1922196567
Name:ORR, MEGAN RUTH (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:RUTH
Last Name:ORR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19604 GALLEON VW
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6238
Mailing Address - Country:US
Mailing Address - Phone:704-998-9598
Mailing Address - Fax:
Practice Address - Street 1:1720 HAMPSHIRE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-7211
Practice Address - Country:US
Practice Address - Phone:704-998-9598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5132101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103222Medicaid