Healthcare Provider Details

I. General information

NPI: 1386560670
Provider Name (Legal Business Name): MERIDIAN COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 STILES RD STE 110
SALEM NH
03079-2877
US

IV. Provider business mailing address

8 STILES RD STE 110
SALEM NH
03079-2877
US

V. Phone/Fax

Practice location:
  • Phone: 603-470-9232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN GRASSO
Title or Position: MEMBER
Credential: LMFT
Phone: 203-828-0575