Healthcare Provider Details

I. General information

NPI: 1790233054
Provider Name (Legal Business Name): MEGAN NICOLE TENAGLIA-NEIL MT-BC; LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN NEIL

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 SPRINGDALE DR
EXTON PA
19341-2843
US

IV. Provider business mailing address

409 CAMELOT DR
BROOKHAVEN PA
19015-1501
US

V. Phone/Fax

Practice location:
  • Phone: 617-383-6522
  • Fax:
Mailing address:
  • Phone: 717-608-8169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: