Healthcare Provider Details

I. General information

NPI: 1659309094
Provider Name (Legal Business Name): JAMES MEGAR LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 HELTON DRIVE
FLORENCE AL
35630
US

IV. Provider business mailing address

2868 ACTON ROAD
BIRMINGHAM AL
35243
US

V. Phone/Fax

Practice location:
  • Phone: 256-765-2230
  • Fax: 256-765-2084
Mailing address:
  • Phone: 205-968-8360
  • Fax: 205-968-8373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1111
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: