Provider Demographics
NPI:1770914764
Name:JOSEPH, MEGHANN KATHERINE (LPC)
Entity type:Individual
Prefix:
First Name:MEGHANN
Middle Name:KATHERINE
Last Name:JOSEPH
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 1:11 SMITH TRACTOR RD
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-9774
Mailing Address - Country:US
Mailing Address - Phone:772-979-5480
Mailing Address - Fax:
Practice Address - Street 1:11 SMITH TRACTOR RD
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-9774
Practice Address - Country:US
Practice Address - Phone:772-979-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12116101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health