Provider Demographics
NPI:1205621729
Name:THOMAS, MEGAN (PLPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 E KANSAS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-2372
Mailing Address - Country:US
Mailing Address - Phone:816-752-7545
Mailing Address - Fax:
Practice Address - Street 1:17 E KANSAS ST STE 200
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-2372
Practice Address - Country:US
Practice Address - Phone:816-752-7545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024029542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health