Provider Demographics
NPI:1174951735
Name:HEDGES, MEGAN (LPC, ART-P)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HEDGES
Suffix:
Gender:F
Credentials:LPC, ART-P
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MONTGOMERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3613 W PIONEER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-4517
Mailing Address - Country:US
Mailing Address - Phone:817-646-6823
Mailing Address - Fax:
Practice Address - Street 1:3613 W PIONEER PKWY STE A
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-4517
Practice Address - Country:US
Practice Address - Phone:817-646-6823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83111101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health