Healthcare Provider Details

I. General information

NPI: 1922631415
Provider Name (Legal Business Name): MEGAN PEEK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 WOODHILL DR
SHELBY NC
28152-7725
US

IV. Provider business mailing address

132 WOODHILL DR
SHELBY NC
28152-7725
US

V. Phone/Fax

Practice location:
  • Phone: 336-416-8124
  • Fax:
Mailing address:
  • Phone: 336-416-8124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA15574
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: