MEDICARE: MEGAN MALIK

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144847815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MALIK

Provider Business Mailing Address
First Line	:	7960 N WICKHAM RD STE 101
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-8096
Country	:	US
Telephone Number	:	321-504-8766
Fax Number	:

Provider Business Practice Location Address
First Line	:	7960 N WICKHAM RD STE 101
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-8096
Country	:	US
Telephone Number	:	321-504-8766
Fax Number	:

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

Provider Enumeration Date	:	06/29/2020
Last Update Date	:	09/15/2024

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Directions to “ MEGAN MALIK ” Practice Location

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