Provider Demographics
NPI:1598555799
Name:MORGAN, MEGAN BROOKE (LME)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:BROOKE
Last Name:MORGAN
Suffix:
Gender:
Credentials:LME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37832 N NEATWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-0119
Mailing Address - Country:US
Mailing Address - Phone:480-815-1500
Mailing Address - Fax:
Practice Address - Street 1:37832 N NEATWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-0119
Practice Address - Country:US
Practice Address - Phone:480-815-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32000797405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional