Provider Demographics
NPI:1780058347
Name:TELGEMEYER, MEGAN (LMHC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:TELGEMEYER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:BERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1279 NORTH COUNTY ROAD 875 EAST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:IN
Mailing Address - Zip Code:47833
Mailing Address - Country:US
Mailing Address - Phone:812-249-8057
Mailing Address - Fax:
Practice Address - Street 1:808 W. NATIONAL AVENUE
Practice Address - Street 2:
Practice Address - City:BRAZIL
Practice Address - State:IN
Practice Address - Zip Code:47834
Practice Address - Country:US
Practice Address - Phone:812-249-8057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002771A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health