| Doctor Name: | ELLEN MEGGINSON |
| NPI Number: | 1013273887 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC |
| License Number: | MH 11058 |
| Business Practice Address: | 1908 Howell Branch Rd Winter Park, FL - 327921009 |
| Business Phone Number: | 4076578555 |
| Business Fax Number: | |
| Mailing Address: | 818 Glen Arden Way, ALTAMONTE SPRINGS |
| State: | FL |
| Postal Code: | 327016818 |
| Phone Number: | 4076578555 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2012 |
| NPI Last Update Date: | 04/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | MH 11058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |