Healthcare Provider Details

I. General information

NPI: 1891529723
Provider Name (Legal Business Name): MEGAN LIN HULL MSCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2024
Last Update Date: 09/02/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E 63RD ST STE 340
KANSAS CITY MO
64110-3303
US

IV. Provider business mailing address

601 E 63RD ST STE 340
KANSAS CITY MO
64110-3303
US

V. Phone/Fax

Practice location:
  • Phone: 816-659-1622
  • Fax:
Mailing address:
  • Phone: 816-659-1622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2004024712
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2004024712
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2004024712
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: