Provider Demographics
NPI:1871890434
Name:GARRISS, MEGAN CHEEK (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:CHEEK
Last Name:GARRISS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:DEANNA
Other - Last Name:CHEEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, NCC
Mailing Address - Street 1:4041 ED DRIVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8092
Mailing Address - Country:US
Mailing Address - Phone:919-783-8377
Mailing Address - Fax:919-324-3404
Practice Address - Street 1:4041 ED DRIVE
Practice Address - Street 2:SUITE 108
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8092
Practice Address - Country:US
Practice Address - Phone:919-783-8377
Practice Address - Fax:919-324-3404
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8099101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104993Medicaid