Individual ProviderMegan SmithCounselorBehavioral Health & Social Service ProvidersPractice Address2990 E Northern Ave Ste A100, Phoenix, AZ 85028-4834(480) 258-3595PECOS EnrollmentBased on the most recent information from CMS, provider Megan Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255800769Provider TypeIndividualFull NameSmith, MeganCredentialMSPC, LACGenderFemaleSole ProprietorYesEnumeration Date11/14/2018Last Updated11/14/2018Contact InformationPractice LocationPractice Address2990 E Northern Ave Ste A100, Phoenix, AZ 85028-4834Phone(480) 258-3595FaxUnlisted FaxMailing LocationMailing Address15022 N 49th St, Scottsdale, AZ 85254-2206Phone(480) 258-3595FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLAC-13829Arizona