Provider Demographics
NPI:1588101968
Name:MEREDITH SCHULZ, LPCC, LLC
Entity type:Organization
Organization Name:MEREDITH SCHULZ, LPCC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:937-306-6350
Mailing Address - Street 1:70 BIRCH ALY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45440-1479
Mailing Address - Country:US
Mailing Address - Phone:937-306-6350
Mailing Address - Fax:888-974-2198
Practice Address - Street 1:70 BIRCH ALY
Practice Address - Street 2:SU
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45440-1479
Practice Address - Country:US
Practice Address - Phone:937-306-6350
Practice Address - Fax:888-974-2198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0601005-SUPV101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty