Provider Demographics
NPI:1548956758
Name:WINTERS, MEGAN KATE (MED, LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KATE
Last Name:WINTERS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14880 MIDWAY LANDING LN
Mailing Address - Street 2:
Mailing Address - City:STREETMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75859-7253
Mailing Address - Country:US
Mailing Address - Phone:254-297-9397
Mailing Address - Fax:
Practice Address - Street 1:14880 MIDWAY LANDING LN
Practice Address - Street 2:
Practice Address - City:STREETMAN
Practice Address - State:TX
Practice Address - Zip Code:75859-7253
Practice Address - Country:US
Practice Address - Phone:254-297-9397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional