Provider Demographics
NPI:1811237092
Name:MEREDITH W. NEILL CONSULTING LLC
Entity Type:Organization
Organization Name:MEREDITH W. NEILL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:W
Authorized Official - Last Name:NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:407-622-4800
Mailing Address - Street 1:1850 LEE RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2115
Mailing Address - Country:US
Mailing Address - Phone:407-622-4800
Mailing Address - Fax:407-975-0417
Practice Address - Street 1:1850 LEE RD
Practice Address - Street 2:SUITE 305
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2115
Practice Address - Country:US
Practice Address - Phone:407-622-4800
Practice Address - Fax:407-975-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1530106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty