Healthcare Provider Details

I. General information

NPI: 1477457216
Provider Name (Legal Business Name): MERAKI RESTRUCTURING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N TWIN OAKS VALLEY RD # 716
SAN MARCOS CA
92069-1709
US

IV. Provider business mailing address

PO BOX 689
HURRICANE UT
84737-0689
US

V. Phone/Fax

Practice location:
  • Phone: 442-340-8944
  • Fax:
Mailing address:
  • Phone: 442-340-8944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER JEAN BROWN
Title or Position: LMFT
Credential: LMFT
Phone: 442-340-8944