Provider Demographics
NPI:1073027280
Name:MEGAN O'BRIEN COUNSELING, LLC
Entity type:Organization
Organization Name:MEGAN O'BRIEN COUNSELING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-871-5468
Mailing Address - Street 1:34 N FRANKLIN AVE
Mailing Address - Street 2:STE 687 #5238
Mailing Address - City:PINEDALE
Mailing Address - State:WY
Mailing Address - Zip Code:82941-9049
Mailing Address - Country:US
Mailing Address - Phone:801-871-5468
Mailing Address - Fax:307-314-0060
Practice Address - Street 1:34 N FRANKLIN AVE
Practice Address - Street 2:STE 687 #5238
Practice Address - City:PINEDALE
Practice Address - State:WY
Practice Address - Zip Code:82941-9049
Practice Address - Country:US
Practice Address - Phone:801-871-5468
Practice Address - Fax:307-314-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty