Healthcare Provider Details

I. General information

NPI: 1427501824
Provider Name (Legal Business Name): MEREDITH CRISLIP L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6209 RIVERSIDE DR STE 200
DUBLIN OH
43017-6028
US

IV. Provider business mailing address

8 S LAKE DR
PARKERSBURG WV
26101-8411
US

V. Phone/Fax

Practice location:
  • Phone: 614-310-4940
  • Fax:
Mailing address:
  • Phone: 304-488-7365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1400123
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: