Healthcare Provider Details

I. General information

NPI: 1477793545
Provider Name (Legal Business Name): MEGAN ELIZABETH STONE M.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3165 MCKELVEY RD
BRIDGETON MO
63044-2550
US

IV. Provider business mailing address

12647 OLIVE BLVD #200
SAINT LOUIS MO
63141-6393
US

V. Phone/Fax

Practice location:
  • Phone: 314-206-3900
  • Fax:
Mailing address:
  • Phone: 314-469-4908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0187481
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2010009472
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: