Healthcare Provider Details

I. General information

NPI: 1275878662
Provider Name (Legal Business Name): MEGAN A COLLINS LMFT, ATR-P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN SARACENI

II. Dates (important events)

Enumeration Date: 12/11/2012
Last Update Date: 12/15/2024
Certification Date: 12/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20501 VENTURA BLVD STE 170
WOODLAND HILLS CA
91364-6258
US

IV. Provider business mailing address

9461 CHARLEVILLE BLVD STE 1185
BEVERLY HILLS CA
90212-3017
US

V. Phone/Fax

Practice location:
  • Phone: 818-579-5693
  • Fax:
Mailing address:
  • Phone: 424-209-7172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number151021
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number24-101
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: