Healthcare Provider Details

I. General information

NPI: 1477478154
Provider Name (Legal Business Name): CAROLINE MEANEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1200 WALNUT BOTTOM RD STE 120
CARLISLE PA
17015-7766
US

IV. Provider business mailing address

1200 WALNUT BOTTOM RD STE 120
CARLISLE PA
17015-7766
US

V. Phone/Fax

Practice location:
  • Phone: 717-780-8843
  • Fax:
Mailing address:
  • Phone: 717-780-8843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE MEANEY
Title or Position: OWNER
Credential: NCC, LPC
Phone: 717-780-8843