Provider Demographics
NPI:1083059943
Name:MEADS, GAY (MSW)
Entity Type:Individual
Prefix:MS
First Name:GAY
Middle Name:
Last Name:MEADS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 ARMOR HILL DR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2554
Mailing Address - Country:US
Mailing Address - Phone:614-353-6370
Mailing Address - Fax:614-475-4746
Practice Address - Street 1:261 W JOHNSTOWN RD STE 206
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3048
Practice Address - Country:US
Practice Address - Phone:614-353-6370
Practice Address - Fax:614-475-4746
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0700410SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical