MEDICARE: MEAGAN PROST LPCC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	E.1000648	OH

General Provider Information

NPI Number	:	1144610163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN PROST LPCC-S

Provider Business Mailing Address
First Line	:	4597 GREAT NORTHERN BLVD # 210
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-3424
Country	:	US
Telephone Number	:	216-282-6017
Fax Number	:

Provider Business Practice Location Address
First Line	:	4597 GREAT NORTHERN BLVD # 210
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-3424
Country	:	US
Telephone Number	:	216-570-6473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2015
Last Update Date	:	12/04/2025

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