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General NPI Number Information
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NPI Number | 1124843024
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Entity Type | Individual
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Provider Name | MEGAN WITTY LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 05/25/2025
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Provider Practice Location Address
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Address Line | 2417 DAYTON BLVD STE C
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City | CHATTANOOGA
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State | TN
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Zip | 37415-6226
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Country | US
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Telephone | 423-521-5025
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Fax | 423-594-8462
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Provider Business Mailing Address
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Address Line | 5222 OLD HIXSON PIKE STE 218
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City | HIXSON
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State | TN
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Zip | 37343-3931
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Country | US
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Telephone | 423-521-5025
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Fax | 423-594-8462
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6663
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License Number State | TN
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