MEDICARE: MERAKI COUNSELING, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1700319258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERAKI COUNSELING, LLC.

Provider Business Mailing Address
First Line	:	5701 E GLENN ST
Second Line	:	UNIT 71
City	:	TUCSON
State	:	AZ
Zip	:	85712-5232
Country	:	US
Telephone Number	:	520-444-9512
Fax Number	:

Provider Business Practice Location Address
First Line	:	1760 E RIVER RD
Second Line	:	SUITE 140
City	:	TUCSON
State	:	AZ
Zip	:	85718-5877
Country	:	US
Telephone Number	:	520-444-9512
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SERAP FRANZ-UNDER
Credential	:	LPC
Telephone Number	:	520-444-9512

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	04/11/2017

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