Healthcare Provider Details

I. General information

NPI: 1134556525
Provider Name (Legal Business Name): MEGAN GALLAGHER CRC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 JEFFERSON BLVD STE 2
WARWICK RI
02888-3878
US

IV. Provider business mailing address

155 JEFFERSON BLVD STE 2
WARWICK RI
02888-3878
US

V. Phone/Fax

Practice location:
  • Phone: 401-537-1242
  • Fax: 401-340-1551
Mailing address:
  • Phone: 401-537-1242
  • Fax: 401-340-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4827
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00716
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180017174
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC9449
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: