Healthcare Provider Details

I. General information

NPI: 1700341922
Provider Name (Legal Business Name): MEANINGFUL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 BOARDMAN CANFIELD RD
BOARDMAN OH
44512-4380
US

IV. Provider business mailing address

725 BOARDMAN CANFIELD RD
BOARDMAN OH
44512-4380
US

V. Phone/Fax

Practice location:
  • Phone: 330-330-8655
  • Fax: 330-330-8657
Mailing address:
  • Phone: 330-330-8655
  • Fax: 330-330-8657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WINOLA SUE SPRAGUE
Title or Position: MEDICAL DIRECTOR
Credential: DNP, PMHCNS
Phone: 330-330-8655