1467986836 NPI number — MISS MEGAN ELIZABETH COUEY LPC, NCC

Table of content: AMARA SANCHEZ (NPI 1740060912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467986836 NPI number — MISS MEGAN ELIZABETH COUEY LPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COUEY
Provider First Name:
MEGAN
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
LPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467986836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
08/10/2020
NPI Reactivation Date:
09/16/2020

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3062 SW FARMSTEAD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BENTON
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-461-9968
Provider Business Mailing Address Fax Number:
316-634-8891

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8623 E 32ND ST. N
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-869-2888
Provider Business Practice Location Address Fax Number:
316-634-8891
Provider Enumeration Date:
04/12/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 3670 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)