Provider Demographics
NPI:1801774526
Name:MORELAND, MEGAN GRACE (MED, NCC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:GRACE
Last Name:MORELAND
Suffix:
Gender:F
Credentials:MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E BELLEFONTE AVE UNIT C-101
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1245
Mailing Address - Country:US
Mailing Address - Phone:256-425-8534
Mailing Address - Fax:
Practice Address - Street 1:2312 MOUNT VERNON AVE STE 206
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22301-1375
Practice Address - Country:US
Practice Address - Phone:256-425-8534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0704018399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health