Provider Demographics
NPI:1710727094
Name:KU, MEAGAN ASHLEY (LMFT)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:ASHLEY
Last Name:KU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:ASHLEY
Other - Last Name:HARKNESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1930 S ALMA SCHOOL RD STE A210
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3046
Mailing Address - Country:US
Mailing Address - Phone:480-580-5118
Mailing Address - Fax:
Practice Address - Street 1:1930 S ALMA SCHOOL RD STE A210
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3046
Practice Address - Country:US
Practice Address - Phone:480-580-5118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-16080106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist