Healthcare Provider Details

I. General information

NPI: 1871729525
Provider Name (Legal Business Name): EMMALY MEIER M.S., LPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 2ND ST STE 306
HENDERSON KY
42420-3172
US

IV. Provider business mailing address

230 2ND ST STE 306
HENDERSON KY
42420-3172
US

V. Phone/Fax

Practice location:
  • Phone: 270-238-3422
  • Fax:
Mailing address:
  • Phone: 270-238-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number168203
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: