Provider Demographics
NPI:1205924305
Name:MERRIWEATHER, TASHAUNA (LMHC, LCAC, NBCC)
Entity type:Individual
Prefix:MRS
First Name:TASHAUNA
Middle Name:
Last Name:MERRIWEATHER
Suffix:
Gender:
Credentials:LMHC, LCAC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1457
Mailing Address - Country:US
Mailing Address - Phone:317-743-8202
Mailing Address - Fax:
Practice Address - Street 1:435 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1457
Practice Address - Country:US
Practice Address - Phone:317-743-8202
Practice Address - Fax:317-743-8276
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001732A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health