Provider Demographics
NPI:1144610163
Name:PROST, MEAGAN (LPCC-S)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:PROST
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:KITTRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:4597 GREAT NORTHERN BLVD # 210
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3424
Mailing Address - Country:US
Mailing Address - Phone:216-570-6473
Mailing Address - Fax:
Practice Address - Street 1:4597 GREAT NORTHERN BLVD # 210
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3424
Practice Address - Country:US
Practice Address - Phone:216-570-6473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000648101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor