Healthcare Provider Details

I. General information

NPI: 1649124405
Provider Name (Legal Business Name): MEGAN THOMPSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN BLANKENSTEIN

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 LIVIA ST
BURLESON TX
76028-7174
US

IV. Provider business mailing address

509 LIVIA ST
BURLESON TX
76028-7174
US

V. Phone/Fax

Practice location:
  • Phone: 706-940-2466
  • Fax:
Mailing address:
  • Phone: 706-940-2466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016347
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103330
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: