MEDICARE: MEGAN LYNN MORAN MA, MHC-LP, T-LMHC

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	101Y00000X	Counselor	P107759	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P107759	OTHER	NY	NEW YORK STATE MENTAL HEALTH COUNSELOR LIMITED PERMIT

General Provider Information

NPI Number	:	1659974905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN LYNN MORAN MA, MHC-LP, T-LMHC

Provider Business Mailing Address
First Line	:	243 LIVINGSTON ST APT 5C1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5838
Country	:	US
Telephone Number	:	310-595-4525
Fax Number	:

Provider Business Practice Location Address
First Line	:	243 LIVINGSTON ST APT 5C1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5838
Country	:	US
Telephone Number	:	310-595-4525
Fax Number	:

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

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	11/19/2020

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