National Provider Identifier

Megan Brautlacht, LMHC-P

Megan Brautlacht, LMHC-P is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Derby, NY and a listed phone number of (716) 947-5025.

NPI 1891206231Derby, NYMental Health Counselor

Profile Overview

NPI
1891206231
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 12, 2017
Last Updated
October 12, 2017

Practice Location

  • 6722 Erie RD
  • Derby, NY 14047-9670

Phone: (716) 947-5025

Mailing Address

  • 5714 Apollo Dr
  • Lake View, NY 14085-9637

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1891206231
Entity Type
Individual
Last Name
Brautlacht
First Name
Megan
Name Prefix
MS.
Credential
LMHC-P
Mailing Street Address
5714 Apollo Dr
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9637
Mailing Country
US
Mailing Phone
(716) 474-3502
Practice Street Address
6722 Erie RD
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047-9670
Practice Country
US
Practice Phone
(716) 947-5025
Enumeration Date
October 12, 2017
Last Updated
October 12, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)