Provider Demographics
NPI:1679185334
Name:HILAND, MEGHAN (MSSA, LISW)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:HILAND
Suffix:
Gender:F
Credentials:MSSA, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 WAKEFIELD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FARMDALE
Mailing Address - State:OH
Mailing Address - Zip Code:44417-9721
Mailing Address - Country:US
Mailing Address - Phone:330-469-0674
Mailing Address - Fax:
Practice Address - Street 1:2626 WAKEFIELD CREEK RD
Practice Address - Street 2:
Practice Address - City:FARMDALE
Practice Address - State:OH
Practice Address - Zip Code:44417-9721
Practice Address - Country:US
Practice Address - Phone:330-469-0674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0085251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical