Provider Demographics
NPI:1316144124
Name:MEINERS, MORGAN LEIGH (CSAC)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:LEIGH
Last Name:MEINERS
Suffix:
Gender:F
Credentials:CSAC
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:L
Other - Last Name:WOLFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 PARK PL STE 400
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-8271
Mailing Address - Country:US
Mailing Address - Phone:920-574-3096
Mailing Address - Fax:
Practice Address - Street 1:17 PARK PL STE 400
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-8271
Practice Address - Country:US
Practice Address - Phone:920-574-3096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16430132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)