Provider Demographics
NPI:1831916675
Name:CHRISTMAS, MEGAN (LMHC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CHRISTMAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17665 BELLAVISTA LOOP UNIT 426
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5671
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17665 BELLAVISTA LOOP
Practice Address - Street 2:APT 426
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5671
Practice Address - Country:US
Practice Address - Phone:239-776-1568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20055101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health