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General NPI Number Information
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NPI Number | 1922797703
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Entity Type | Individual
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Provider Name | JACQUELINE A MEREDITH LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 225 W. CANTON AVENUE SUITE 600
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City | WINTER PARK
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State | FL
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Zip | 32789-3181
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Country | US
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Telephone | 407-347-4536
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Fax | 812-285-8392
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Provider Business Mailing Address
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Address Line | 225 W CANTON AVENUE SUITE 600
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City | WINTER PARK
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State | FL
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Zip | 32789-3181
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Country | US
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Telephone | 407-347-4536
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Fax | 812-285-8392
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH15366
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License Number State | FL
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