Provider Demographics
NPI:1588095533
Name:MUNSON-MATTHEWS, MEGAN (LPC-S)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MUNSON-MATTHEWS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MUNSON-HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC INTERN
Mailing Address - Street 1:PO BOX 4167
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-4167
Mailing Address - Country:US
Mailing Address - Phone:843-731-9100
Mailing Address - Fax:843-879-0613
Practice Address - Street 1:2126 W JODY RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-2032
Practice Address - Country:US
Practice Address - Phone:843-731-9100
Practice Address - Fax:843-879-0613
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5666101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional