Healthcare Provider Details

I. General information

NPI: 1144610163
Provider Name (Legal Business Name): MEAGAN PROST LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEAGAN KITTRICK LPCC-S

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4597 GREAT NORTHERN BLVD # 210
NORTH OLMSTED OH
44070-3424
US

IV. Provider business mailing address

4597 GREAT NORTHERN BLVD # 210
NORTH OLMSTED OH
44070-3424
US

V. Phone/Fax

Practice location:
  • Phone: 216-570-6473
  • Fax:
Mailing address:
  • Phone: 216-282-6017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1000648
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: