Megan Davis, LCPC

Individual provider Active NPI Mental Health Counselor · Malta, MT

NPI 1104165273 · NPPES record last updated Sep 24, 2015

Key facts

NPI
1104165273
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
2659 (MT)
Practice address
542 S 7TH St E
Malta, MT 59538-8871
Phone
(406) 390-4284
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2659MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Malta School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2659 MT Yes

Addresses

Primary practice location

542 S 7TH St E
Malta, MT 59538-8871

Mailing address

542 S 7TH St E
Malta, MT 59538-8871
Phone (406) 390-4284

Other identifiers

IdentifierTypeStateIssuer
1477745370MedicaidMT

Other providers in Malta, MT

All providers in Malta, MT · Mental Health Counselor in Montana

Sources for this page

Verify at the official NPI Registry.