Healthcare Provider Details

I. General information

NPI: 1639097413
Provider Name (Legal Business Name): MEIYA NEET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEG LANNEN NEET

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 BRIDGE AVE STE 4
CLEVELAND OH
44113-3086
US

IV. Provider business mailing address

5338 MEADOW LANE CT
SHEFFIELD VILLAGE OH
44035-1469
US

V. Phone/Fax

Practice location:
  • Phone: 216-282-3838
  • Fax: 440-434-2011
Mailing address:
  • Phone:
  • Fax: 440-434-2011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2507007
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: