Provider Demographics
NPI:1518587559
Name:MERAKI HEALTH
Entity Type:Organization
Organization Name:MERAKI HEALTH
Other - Org Name:MERAKI CLINIC & SPA
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-394-0066
Mailing Address - Street 1:400 GALLERIA PKWY SE STE 1500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5953
Mailing Address - Country:US
Mailing Address - Phone:888-692-5546
Mailing Address - Fax:
Practice Address - Street 1:400 GALLERIA PKWY SE STE 1500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5953
Practice Address - Country:US
Practice Address - Phone:888-692-5546
Practice Address - Fax:404-393-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service