Provider Demographics
NPI:1104259506
Name:SOMERVILL, MEGAN MCLAUGHLIN (LCMHC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MCLAUGHLIN
Last Name:SOMERVILL
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MCLAUGHLIN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:172 CROW RD
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-8706
Mailing Address - Country:US
Mailing Address - Phone:828-337-5921
Mailing Address - Fax:
Practice Address - Street 1:27 BALSAM AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2741
Practice Address - Country:US
Practice Address - Phone:828-337-5923
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS8102101YM0800X
NC8102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8102OtherLICENSE
NC8102OtherLICENSE