Basic Information
Provider Information
NPI: 1427317940
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEEKER
FirstName: KATIE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: LPCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1791 ALUM CREEK DR
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432071708
CountryCode: US
TelephoneNumber: 4193468532
FaxNumber:  
Practice Location
Address1: 715 S PLUM ST
Address2:  
City: MARYSVILLE
State: OH
PostalCode: 430401631
CountryCode: US
TelephoneNumber: 9376449192
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  N Behavioral Health & Social Service ProvidersCounselorMental Health
101YM0800XE.1700161OHY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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