Healthcare Provider Details

I. General information

NPI: 1821955063
Provider Name (Legal Business Name): MEGHAN DANIELLEL MILLER PEER RECOVERY SUPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 AVERY MUIRFIELD DR
DUBLIN OH
43017-1241
US

IV. Provider business mailing address

2917 GENTRY LN
COLUMBUS OH
43232-5405
US

V. Phone/Fax

Practice location:
  • Phone: 888-251-2365
  • Fax:
Mailing address:
  • Phone: 614-704-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.007335
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: