Organization
A NEW LEAF PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN PERA LCSW (SOLE MEMBER)
(937) 507-6520
Entity
Organization
Contact information
Practice address
550 N MAIN ST UNIT B, SPRINGBORO, OH 45066-7520
(937) 507-6520
(937) 889-2895
Mailing address
PO BOX 596, MONROE, OH 45050-0596
(937) 507-6520
(937) 889-2895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424435
—
OH
Enumeration date
10/13/2020
Last updated
06/30/2025
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