Provider Demographics
NPI:1922362276
Name:LOVING, MEGAN R (MA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:R
Last Name:LOVING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:402 BLUFF CITY HWY
Mailing Address - Street 2:APT 313
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-4612
Mailing Address - Country:US
Mailing Address - Phone:276-690-5386
Mailing Address - Fax:276-525-1609
Practice Address - Street 1:402 BLUFF CITY HWY
Practice Address - Street 2:APT 313
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-4612
Practice Address - Country:US
Practice Address - Phone:276-690-5386
Practice Address - Fax:276-525-1609
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor