Healthcare Provider Details

I. General information

NPI: 1841673274
Provider Name (Legal Business Name): DAVID WAYNE MEGGITT M.A., LPCA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W STEVE WARINER DR
RUSSELL SPRINGS KY
42642-4541
US

IV. Provider business mailing address

145 W STEVE WARINER DR
RUSSELL SPRINGS KY
42642-4541
US

V. Phone/Fax

Practice location:
  • Phone: 270-858-5377
  • Fax:
Mailing address:
  • Phone: 270-858-5377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number245305
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: