Organization
ALASKA TELETHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN M MAGONE MA LPC-S, LMHC (OWNER / PROVIDER)
(907) 444-9134
Entity
Organization
Contact information
Practice address
1909 N 195TH ST, SHORELINE, WA 98133-3703
(907) 444-9134
(800) 480-3188
Mailing address
1909 N 195TH ST, SHORELINE, WA 98133-3703
(907) 229-8629
(800) 480-3188
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/04/2020
Last updated
05/12/2026
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