Healthcare Provider Details

I. General information

NPI: 1063228112
Provider Name (Legal Business Name): MEGAN WATKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 SAUNDERSVILLE RD STE 300
HENDERSONVILLE TN
37075-8903
US

IV. Provider business mailing address

PO BOX 845113
DALLAS TX
75284-5113
US

V. Phone/Fax

Practice location:
  • Phone: 888-374-5066
  • Fax: 719-623-0165
Mailing address:
  • Phone: 888-374-5066
  • Fax: 719-623-0165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: