Healthcare Provider Details
I. General information
NPI: 1487470506
Provider Name (Legal Business Name): MEGAN MARIE DEMBEK MA, ATR-BC, LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/25/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1439 MONROE AVE STE 2
DUNMORE PA
18509-2497
US
IV. Provider business mailing address
1403 MARION ST
DUNMORE PA
18509-2474
US
V. Phone/Fax
- Phone: 570-466-0746
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | APC000391 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 221700000X |
| Taxonomy | Art Therapist |
| License Number | 23-413 |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: