Healthcare Provider Details

I. General information

NPI: 1992623698
Provider Name (Legal Business Name): MS. MEGAN PURKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 GROVEPORT RD
GROVEPORT OH
43125-1005
US

IV. Provider business mailing address

101 COLLEGE ST APT H
GROVEPORT OH
43125-1148
US

V. Phone/Fax

Practice location:
  • Phone: 614-324-4088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: