MEDICARE: MEGAN HOLLAND M.ED. NCC LPC LBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	BH002095	PA
2	101YP2500X	Professional Counselor	PC009077	PA

General Provider Information

NPI Number	:	1003341132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN HOLLAND M.ED. NCC LPC LBS

Provider Business Mailing Address
First Line	:	1049 ROSS AVE
Second Line	:
City	:	FORD CITY
State	:	PA
Zip	:	16226-1432
Country	:	US
Telephone Number	:	724-205-3628
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 S LEECHBURG HILL RD
Second Line	:
City	:	LEECHBURG
State	:	PA
Zip	:	15656-9502
Country	:	US
Telephone Number	:	724-205-3628
Fax Number	:	724-845-0923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	04/26/2023

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