Provider Demographics
NPI:1649093352
Name:RAND, MEGAN LYNN (LMHC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:RAND
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 1:225 BROADWAY STE 2010
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3738
Mailing Address - Country:US
Mailing Address - Phone:212-899-5069
Mailing Address - Fax:347-745-3166
Practice Address - Street 1:225 BROADWAY STE 2010
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3738
Practice Address - Country:US
Practice Address - Phone:212-899-5069
Practice Address - Fax:347-745-3166
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015295101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health