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NPI Code Detail

MEDICARE: MEAGAN MARIE SHEPPERD

MEDICARE:   MEAGAN MARIE SHEPPERD
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
1101Y00000XCounselor
2101YP2500XProfessional Counselor
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1912868662
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN MARIE SHEPPERD
Provider Business Mailing Address
First Line : 12925 NUTTY BROWN RD
Second Line :
City : AUSTIN
State : TX
Zip : 78737-9239
Country : US
Telephone Number : 512-994-8747
Fax Number :
Provider Business Practice Location Address
First Line : 7719 WOOD HOLLOW DR STE 201
Second Line :
City : AUSTIN
State : TX
Zip : 78731-1634
Country : US
Telephone Number : 512-610-7719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2025
Last Update Date : 11/21/2025

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Directions to “ MEAGAN MARIE SHEPPERD ” Practice Location

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