MEDICARE: MEGHAN TERWILLIGER

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	101YP2500X	Professional Counselor	LPC-22661	AZ

General Provider Information

NPI Number	:	1568248110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN TERWILLIGER

Provider Business Mailing Address
First Line	:	2601 N 3RD ST STE 108
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1144
Country	:	US
Telephone Number	:	602-492-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 N 3RD ST STE 205
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1145
Country	:	US
Telephone Number	:	602-492-2121
Fax Number	:

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

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	02/14/2024

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Directions to “ MEGHAN TERWILLIGER ” Practice Location

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