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General NPI Number Information
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NPI Number | 1649080169
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Entity Type | Individual
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Provider Name | MAKAYLAH MEREDITH
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Gender | Female
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 817 N MCKNIGHT RD APT B
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City | SAINT LOUIS
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State | MO
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Zip | 63132-4825
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Country | US
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Telephone | 314-602-1614
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Fax |
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Provider Business Mailing Address
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Address Line | 817 N MCKNIGHT RD APT B
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City | SAINT LOUIS
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State | MO
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Zip | 63132-4825
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Country | US
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Telephone | 314-602-1614
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2023005552
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2023005552
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License Number State | MO
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