MEDICARE: MEGAN NEMETH

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	PRC200001796	DC
2	101YP2500X	Professional Counselor	TLC2314PC	SC

General Provider Information

NPI Number	:	1154927127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN NEMETH

Provider Business Mailing Address
First Line	:	2659 STATE ST
Second Line	:	STE 100
City	:	CARLSBAD
State	:	CA
Zip	:	92008-1627
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 N PLEASANTBURG DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-2925
Country	:	US
Telephone Number	:	855-504-2060
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	04/07/2026

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Directions to “ MEGAN NEMETH ” Practice Location

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