Provider Demographics
NPI:1679007595
Name:SHISKIN, MEGHAN (MS, LMFT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SHISKIN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:BRAND'L
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:472 SE JUPITER TER
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3212
Mailing Address - Country:US
Mailing Address - Phone:954-775-4260
Mailing Address - Fax:
Practice Address - Street 1:314 NW BETHANY DR
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-3578
Practice Address - Country:US
Practice Address - Phone:954-775-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-18
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT5064106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist