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NPI Code Detail

MEDICARE: MEGAN C. SEGRAVES LPC

MEDICARE:   MEGAN C. SEGRAVES  LPC
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
1101YM0800XMental Health CounselorMBTCOU-9845ID
2101YP2500XProfessional CounselorLPC-20108AZ

General Provider Information

NPI Number : 1396410304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN C. SEGRAVES LPC
Provider Business Mailing Address
First Line : 1500 N PRIEST DR # 109
Second Line :
City : TEMPE
State : AZ
Zip : 85288-1213
Country : US
Telephone Number : 702-589-4871
Fax Number : 702-589-4872
Provider Business Practice Location Address
First Line : 6151-6153 W OLIVE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85302-4598
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-389-3599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2021
Last Update Date : 02/05/2026

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Directions to “ MEGAN C. SEGRAVES LPC” Practice Location

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