Healthcare Provider Details

I. General information

NPI: 1962823583
Provider Name (Legal Business Name): MEGAN ESCOBEDO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2013
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8930 WHITECLOVER ST
LITTLETON CO
80125-8054
US

IV. Provider business mailing address

8930 WHITECLOVER ST
LITTLETON CO
80125-8054
US

V. Phone/Fax

Practice location:
  • Phone: 540-998-5285
  • Fax:
Mailing address:
  • Phone: 540-998-5285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701005644
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: