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NPI Code Detail

MEDICARE: MS. TINA MARIE MEAYS

MEDICARE: MS. TINA MARIE MEAYS
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 Counselor9172NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19172OTHERNEPLMHP

General Provider Information

NPI Number : 1972815926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TINA MARIE MEAYS
Provider Business Mailing Address
First Line : 2015 7TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-6818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1460 35TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4731
Country : US
Telephone Number : 402-562-6767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2010
Last Update Date : 07/07/2010

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