Provider Demographics
NPI:1215320965
Name:MORAN, MEGAN (LMHC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MORAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 UNION ST
Mailing Address - Street 2:SUITE 222
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1112
Mailing Address - Country:US
Mailing Address - Phone:508-317-2323
Mailing Address - Fax:508-519-5619
Practice Address - Street 1:25 UNION ST
Practice Address - Street 2:SUITE 222
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1112
Practice Address - Country:US
Practice Address - Phone:508-317-2323
Practice Address - Fax:508-519-5619
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-05
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health