Provider Demographics
NPI:1639053556
Name:MIDDLETON, MEGAN A (LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:A
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W KILLIAN STATION CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8078
Mailing Address - Country:US
Mailing Address - Phone:843-830-8223
Mailing Address - Fax:
Practice Address - Street 1:1545 LEGRAND RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6310
Practice Address - Country:US
Practice Address - Phone:803-563-5087
Practice Address - Fax:866-578-4588
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty