Individual ProviderMegan Kay Van VlackMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5725 Oak Grove Ave Ste 1, Oakland, CA 94618-1244(925) 335-6561PECOS EnrollmentBased on the most recent information from CMS, provider Megan Kay Van Vlack 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 34 days ago.Profile DetailsProvider ID1306561972Provider TypeIndividualFull NameVan Vlack, Megan KayCredentialLMFT, LPCCGenderFemaleSole ProprietorYesEnumeration Date10/6/2022Last Updated7/31/2024Contact InformationPractice LocationPractice Address5725 Oak Grove Ave Ste 1, Oakland, CA 94618-1244Phone(925) 335-6561FaxUnlisted FaxMailing LocationMailing Address5725 Oak Grove Ave Ste 1, Oakland, CA 94618-1244Phone(925) 335-6561FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense134203CaliforniaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense14946California