Provider Demographics
NPI:1831232040
Name:MATHIAS, MEGAN A (MACM, LPCC-S)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:A
Last Name:MATHIAS
Suffix:
Gender:F
Credentials:MACM, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7602 SLATE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8157
Mailing Address - Country:US
Mailing Address - Phone:614-626-2696
Mailing Address - Fax:866-820-4098
Practice Address - Street 1:7602 SLATE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8157
Practice Address - Country:US
Practice Address - Phone:614-626-2696
Practice Address - Fax:866-820-4098
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0008303101YP2500X
OHE.0008303101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional