Healthcare Provider Details

I. General information

NPI: 1508795501
Provider Name (Legal Business Name): MEGAN LOUISE HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24500 CENTER RIDGE RD STE 395
WESTLAKE OH
44145-5631
US

IV. Provider business mailing address

36550 CHESTER RD APT 1503
AVON OH
44011-4003
US

V. Phone/Fax

Practice location:
  • Phone: 440-455-9125
  • Fax:
Mailing address:
  • Phone: 614-562-6640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2607590-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: