Healthcare Provider Details

I. General information

NPI: 1730013079
Provider Name (Legal Business Name): MEGAN FLUHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 E LONGVIEW DR
APPLETON WI
54911-2130
US

IV. Provider business mailing address

208 E 8TH ST
KAUKAUNA WI
54130-2508
US

V. Phone/Fax

Practice location:
  • Phone: 920-210-0107
  • Fax:
Mailing address:
  • Phone: 920-210-0107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9048-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: