MEDICARE: MEGHAN MARIE FRISBY LPC,NCC

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	LPC016461	GA

General Provider Information

NPI Number	:	1508714205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN MARIE FRISBY LPC,NCC

Provider Business Mailing Address
First Line	:	14 GREEN APPLE CT
Second Line	:
City	:	TAYLORSVILLE
State	:	GA
Zip	:	30178-1636
Country	:	US
Telephone Number	:	770-826-9984
Fax Number	:

Provider Business Practice Location Address
First Line	:	5041 DALLAS HWY STE 402
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6458
Country	:	US
Telephone Number	:	678-354-5594
Fax Number	:

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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