Provider Demographics
NPI:1942547674
Name:CAUDLE, MEGAN DEANNA (LPC-S)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:DEANNA
Last Name:CAUDLE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CHATEAU DR SW STE 145
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6437
Mailing Address - Country:US
Mailing Address - Phone:256-801-8937
Mailing Address - Fax:256-517-8355
Practice Address - Street 1:250 CHATEAU DR SW STE 145
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6437
Practice Address - Country:US
Practice Address - Phone:256-801-8937
Practice Address - Fax:256-517-8355
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3021101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional