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NPI Code Detail

MEDICARE: MEGAN EBENGER LPCC-S

MEDICARE: MEGAN EBENGER 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
1101YM0800XMental Health CounselorE1800847-SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366750077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN EBENGER LPCC-S
Provider Business Mailing Address
First Line : 1865 N RIDGE RD E
Second Line :
City : LORAIN
State : OH
Zip : 44055-3300
Country : US
Telephone Number : 440-723-5509
Fax Number :
Provider Business Practice Location Address
First Line : 1865 N RIDGE RD E
Second Line :
City : LORAIN
State : OH
Zip : 44055-3300
Country : US
Telephone Number : 440-723-5509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2010
Last Update Date : 01/16/2020

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