Provider Demographics
NPI:1003548629
Name:SMILEY, MEGAN LEA (LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEA
Last Name:SMILEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:LEA
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:700 S 7TH ST # 293
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-2119
Mailing Address - Country:US
Mailing Address - Phone:856-433-4184
Mailing Address - Fax:267-603-8882
Practice Address - Street 1:700 S 7TH ST # 293
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-2119
Practice Address - Country:US
Practice Address - Phone:856-433-4184
Practice Address - Fax:267-603-8882
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011152101YM0800X
PAPC014377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty