Healthcare Provider Details

I. General information

NPI: 1891193447
Provider Name (Legal Business Name): MEIER CLINICS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 LAKE WORTH RD SUITES 316 & 317
GREENACRES FL
33467-2955
US

IV. Provider business mailing address

2100 MANCHESTER RD SUITE 1510
WHEATON IL
60187-4561
US

V. Phone/Fax

Practice location:
  • Phone: 630-653-1717
  • Fax: 630-653-7926
Mailing address:
  • Phone: 630-653-1717
  • Fax: 630-653-7926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SANDY NEWPORT
Title or Position: NAT. EX. ASST.
Credential:
Phone: 630-653-1717