Healthcare Provider Details

I. General information

NPI: 1366355612
Provider Name (Legal Business Name): MEGAN MONAHAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 JOURNEY STE 150
ALISO VIEJO CA
92656-5364
US

IV. Provider business mailing address

26791 ALISO CREEK RD # 1088
ALISO VIEJO CA
92656-2887
US

V. Phone/Fax

Practice location:
  • Phone: 949-361-3775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: