Healthcare Provider Details

I. General information

NPI: 1962313965
Provider Name (Legal Business Name): MEREDITH CAIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2559 UNION LAKE RD
COMMERCE TOWNSHIP MI
48382-3555
US

IV. Provider business mailing address

2925 WOODBINE DR
WATERFORD MI
48328-3961
US

V. Phone/Fax

Practice location:
  • Phone: 248-404-8555
  • Fax:
Mailing address:
  • Phone: 586-260-0971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024894
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: