Provider Demographics
NPI:1891477048
Name:MERAKI, SARAYU (LPC-IT)
Entity Type:Individual
Prefix:
First Name:SARAYU
Middle Name:
Last Name:MERAKI
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:WERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11266 W TALON CIR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-3142
Mailing Address - Country:US
Mailing Address - Phone:920-285-4900
Mailing Address - Fax:
Practice Address - Street 1:1990 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-2601
Practice Address - Country:US
Practice Address - Phone:920-285-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health