Healthcare Provider Details

I. General information

NPI: 1023746872
Provider Name (Legal Business Name): MEGAN GRACE KRAUSE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1172 E GRAND AVE
ARROYO GRANDE CA
93420-2556
US

IV. Provider business mailing address

1375 E. GRAND AVE. STE. 103 PMB 515
ARROYO GRANDE CA
93420
US

V. Phone/Fax

Practice location:
  • Phone: 805-801-2231
  • Fax:
Mailing address:
  • Phone: 58-801-2231
  • Fax: 805-335-6859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT155215
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: