Healthcare Provider Details

I. General information

NPI: 1275665986
Provider Name (Legal Business Name): PEG M MEIS LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 NILLES RD, SUITE 5 COMPAAA POINT COUNSELING SERVICES
CINCINNATI OH
45014
US

IV. Provider business mailing address

733 SOUTHMEADOW CIR
CINCINNATI OH
45231-6096
US

V. Phone/Fax

Practice location:
  • Phone: 513-939-0300
  • Fax: 513-939-0310
Mailing address:
  • Phone: 513-560-7157
  • Fax: 513-521-5009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE2281
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: