Provider Demographics
NPI:1013898139
Name:LANDRESS, MEGAN ANN (LCDC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANN
Last Name:LANDRESS
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 MEANDERING WAY
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-5503
Mailing Address - Country:US
Mailing Address - Phone:682-364-7057
Mailing Address - Fax:
Practice Address - Street 1:2930 MEANDERING WAY
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-5503
Practice Address - Country:US
Practice Address - Phone:682-364-7057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17448101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)