Organization Name: | MEGAN E FELLOWS LPC, INC. |
NPI Number: | 1043596497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEGAN E FELLOWS (OWNER) |
Mailing Address: | 129 Park St Ne Suite 10-a Vienna |
State: | VA US |
Postal Code: | 221804603 |
Phone Number: | 5712960583 |
Fax Number: | 7039919149 |
NPI Enumeration Date: | 10/31/2011 |
NPI Last Update Date: | 10/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701004609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |