Provider Demographics
NPI:1851199376
Name:RUTHERFORD, MEGAN RACHEL
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RACHEL
Last Name:RUTHERFORD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 WHITE OAK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ARTIE
Mailing Address - State:WV
Mailing Address - Zip Code:25008-9405
Mailing Address - Country:US
Mailing Address - Phone:859-397-7022
Mailing Address - Fax:
Practice Address - Street 1:221 GEORGE ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2609
Practice Address - Country:US
Practice Address - Phone:681-238-6634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health