Provider Demographics
NPI:1871045153
Name:STEACH, MEGAN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:STEACH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2271 E CONTINENTAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-9793
Mailing Address - Country:US
Mailing Address - Phone:817-242-6059
Mailing Address - Fax:817-775-4401
Practice Address - Street 1:2271 E CONTINENTAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-9793
Practice Address - Country:US
Practice Address - Phone:817-242-6059
Practice Address - Fax:817-775-4401
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132481363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health