Healthcare Provider Details

I. General information

NPI: 1982524849
Provider Name (Legal Business Name): LEA MEISTER LPMT, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N. MAIN ST.
SAINT JOSEPH IL
61873
US

IV. Provider business mailing address

1909 COUNTY ROAD 2800 N
RANTOUL IL
61866-9542
US

V. Phone/Fax

Practice location:
  • Phone: 248-909-9305
  • Fax:
Mailing address:
  • Phone: 248-909-9305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number144000123
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: