Provider Demographics
NPI:1205510500
Name:MEREDITH REUTER LLC
Entity type:Organization
Organization Name:MEREDITH REUTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:REUTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:603-400-8218
Mailing Address - Street 1:441 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-4181
Mailing Address - Country:US
Mailing Address - Phone:603-400-8218
Mailing Address - Fax:
Practice Address - Street 1:441 MAIN ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-4181
Practice Address - Country:US
Practice Address - Phone:603-400-8218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty