Healthcare Provider Details

I. General information

NPI: 1235760604
Provider Name (Legal Business Name): MEGAN DAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 WASHINGTON RD STE E
MC MURRAY PA
15317-6400
US

IV. Provider business mailing address

115 1ST ST
CANONSBURG PA
15317-2115
US

V. Phone/Fax

Practice location:
  • Phone: 724-260-6810
  • Fax:
Mailing address:
  • Phone: 814-421-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: