Provider Demographics
NPI:1861364259
Name:BOGGAN, MARGARET ANNE
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:BOGGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CHASE PARK S STE 202
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1800
Mailing Address - Country:US
Mailing Address - Phone:205-789-6174
Mailing Address - Fax:
Practice Address - Street 1:100 CHASE PARK S STE 202
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1800
Practice Address - Country:US
Practice Address - Phone:205-530-8743
Practice Address - Fax:205-379-7778
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05750101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health