Healthcare Provider Details

I. General information

NPI: 1710535679
Provider Name (Legal Business Name): MEGAN WOYKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 S FRONTAGE RD STE 221
HASTINGS MN
55033-2688
US

IV. Provider business mailing address

1303 S FRONTAGE RD STE 221
HASTINGS MN
55033-2688
US

V. Phone/Fax

Practice location:
  • Phone: 224-424-4194
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: