Provider Demographics
NPI:1124325618
Name:WILLIAMS, MEGHAN (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 UNIVERSITY AVE W
Mailing Address - Street 2:#S342
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2801
Mailing Address - Country:US
Mailing Address - Phone:651-263-8633
Mailing Address - Fax:651-204-1002
Practice Address - Street 1:1821 UNIVERSITY AVE W
Practice Address - Street 2:#S342
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2801
Practice Address - Country:US
Practice Address - Phone:651-263-8633
Practice Address - Fax:651-204-1002
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2302106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist