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NPI Code Detail

MEDICARE: MEREDITH LEE BURNETT

MEDICARE: MEREDITH LEE BURNETT
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
1101YM0800XMental Health Counselor0701009289VA

General Provider Information

NPI Number : 1881408219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH LEE BURNETT
Provider Business Mailing Address
First Line : 4505 COLUMBUS ST STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6781
Country : US
Telephone Number : 757-222-4944
Fax Number :
Provider Business Practice Location Address
First Line : 4505 COLUMBUS ST STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6781
Country : US
Telephone Number : 703-898-9691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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Directions to “ MEREDITH LEE BURNETT ” Practice Location

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