Healthcare Provider Details

I. General information

NPI: 1538092143
Provider Name (Legal Business Name): MAGDALENE MARIE GARNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEG GARNER LPC

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 COPPER DR
CAPE GIRARDEAU MO
63701-1730
US

IV. Provider business mailing address

164 EMERALD ISLE
CAPE GIRARDEAU MO
63701-6500
US

V. Phone/Fax

Practice location:
  • Phone: 573-334-2889
  • Fax:
Mailing address:
  • Phone: 573-579-2188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026023977
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: