Healthcare Provider Details

I. General information

NPI: 1982233151
Provider Name (Legal Business Name): MEGAN MICHELLE HUFFMEYER MSW,LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 COUNTY LINE RD
BATESVILLE IN
47006-9008
US

IV. Provider business mailing address

920 COUNTY LINE RD
BATESVILLE IN
47006-9008
US

V. Phone/Fax

Practice location:
  • Phone: 317-741-0204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33008554A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: