Provider Demographics
NPI:1558169748
Name:IRVING, MEGAN (LMFTA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:IRVING
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N 27TH ST UNIT 6962
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-5812
Mailing Address - Country:US
Mailing Address - Phone:253-234-5751
Mailing Address - Fax:
Practice Address - Street 1:3801 N 27TH ST UNIT 6962
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-5812
Practice Address - Country:US
Practice Address - Phone:253-234-5751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61614670106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist