MEDICARE: MEAGAN NICOLE DIRVEN

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	101YM0800X	Mental Health Counselor	A22300	NC

General Provider Information

NPI Number	:	1114889011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN NICOLE DIRVEN

Provider Business Mailing Address
First Line	:	101 LAUGHING OAK LN APT 106
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-6276
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2231 E MILLBROOK RD STE 101
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-1746
Country	:	US
Telephone Number	:	919-307-8165
Fax Number	:

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

Provider Enumeration Date	:	11/29/2025
Last Update Date	:	12/01/2025

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Directions to “ MEAGAN NICOLE DIRVEN ” Practice Location

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