Provider Demographics
NPI:1154037810
Name:WHELAN, MEEGAN B (LCMHC)
Entity type:Individual
Prefix:
First Name:MEEGAN
Middle Name:B
Last Name:WHELAN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 PLANTATION PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2252
Mailing Address - Country:US
Mailing Address - Phone:781-915-7836
Mailing Address - Fax:
Practice Address - Street 1:308 PLANTATION PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2252
Practice Address - Country:US
Practice Address - Phone:781-915-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health