MEDICARE: MEIER CLINICS FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC002727	PA

General Provider Information

NPI Number	:	1285674226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEIER CLINICS FOUNDATION

Provider Business Mailing Address
First Line	:	2099 N COLLINS BLVD
Second Line	:	SUITE 200
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2698
Country	:	US
Telephone Number	:	972-437-4698
Fax Number	:	972-671-2087

Provider Business Practice Location Address
First Line	:	6200 BROOKTREE RD
Second Line	:	SUITE 110
City	:	WEXFORD
State	:	PA
Zip	:	15090-9299
Country	:	US
Telephone Number	:	972-437-4698
Fax Number	:	972-671-2087

Authorized Official
Title or Position	:	V.P. CORPORATE COMPLIANCE
Name	:	JACQUELYN WILLIAMS
Credential	:
Telephone Number	:	972-437-4698

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	08/22/2020

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Directions to “MEIER CLINICS FOUNDATION ” Practice Location

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