Healthcare Provider Details

I. General information

NPI: 1780108233
Provider Name (Legal Business Name): MEGAN BRICE MS, LPCC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 07/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 S COUNTY ROAD 5 UNIT 201
WINDSOR CO
80528-9004
US

IV. Provider business mailing address

5100 RONALD REAGAN BLVD APT H304
JOHNSTOWN CO
80534-6461
US

V. Phone/Fax

Practice location:
  • Phone: 719-582-0800
  • Fax:
Mailing address:
  • Phone: 719-582-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15442
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: