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General NPI Number Information
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NPI Number | 1093689655
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Entity Type | Organization
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Legal Business Name | MY THERAPIST MEGAN, LLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 621 N SHERMAN AVE STE B7
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City | MADISON
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State | WI
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Zip | 53704-4452
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Country | US
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Telephone | 608-205-8031
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 ATWOOD AVE APT 210
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City | MADISON
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State | WI
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Zip | 53704-5878
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Country | US
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Telephone | 608-205-8031
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOTHERAPIST
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Name | MEGAN ELIZABETH HORVATH
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Credential | APSW
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Telephone | 608-205-8031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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