Healthcare Provider Details

I. General information

NPI: 1073417705
Provider Name (Legal Business Name): MEGAN ELIZABETH SEARFOSS APC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 HARWELL AVE
LAGRANGE GA
30240-3132
US

IV. Provider business mailing address

1300 S DAVIS RD APT 619
LAGRANGE GA
30241-2651
US

V. Phone/Fax

Practice location:
  • Phone: 706-837-0045
  • Fax: 706-837-0035
Mailing address:
  • Phone: 706-837-0045
  • Fax: 706-837-0035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC011487
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: