Healthcare Provider Details

I. General information

NPI: 1407710296
Provider Name (Legal Business Name): MEGAN JOANNE LINDSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N WATER ST
KENT OH
44240-2418
US

IV. Provider business mailing address

155 N WATER ST
KENT OH
44240-2418
US

V. Phone/Fax

Practice location:
  • Phone: 330-678-3006
  • Fax:
Mailing address:
  • Phone: 330-678-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number195983
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: