MEDICARE: MS. MEREDITH RICHARDS PERRY

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	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	MH20858	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376835942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEREDITH RICHARDS PERRY

Provider Business Mailing Address
First Line	:	PO BOX 100183
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0183
Country	:	US
Telephone Number	:	352-392-0140
Fax Number	:

Provider Business Practice Location Address
First Line	:	4197 NW 86TH TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-9278
Country	:	US
Telephone Number	:	352-265-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2011
Last Update Date	:	12/29/2022

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