Provider Demographics
NPI:1801264197
Name:STORY CHAVEZ, MEGAN (PHD, LMFT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:STORY CHAVEZ
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:STORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:644 N 200 E
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1512
Mailing Address - Country:US
Mailing Address - Phone:385-450-1527
Mailing Address - Fax:
Practice Address - Street 1:3305 N UNIVERSITY AVE STE 275
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-7406
Practice Address - Country:US
Practice Address - Phone:801-491-6394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11275632-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist