Provider Demographics
NPI:1679934434
Name:REEVES-DENTON, MEGAN ASHLEY (LCMHC)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ASHLEY
Last Name:REEVES-DENTON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 NATIONAL HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-2318
Mailing Address - Country:US
Mailing Address - Phone:336-701-0340
Mailing Address - Fax:336-568-0359
Practice Address - Street 1:1326 NATIONAL HWY STE 101
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2318
Practice Address - Country:US
Practice Address - Phone:336-701-0340
Practice Address - Fax:336-568-0359
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-08
Last Update Date:2024-02-23
Deactivation Date:2024-01-20
Deactivation Code:
Reactivation Date:2024-02-20
Provider Licenses
StateLicense IDTaxonomies
NC11946101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional