Provider Demographics
NPI:1649301938
Name:SPAULDING, MEGHAN (LPCC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:CARRIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:20 N GRAND AVE STE 110A
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1755
Mailing Address - Country:US
Mailing Address - Phone:859-486-6611
Mailing Address - Fax:
Practice Address - Street 1:20 N GRAND AVE STE 110A
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1755
Practice Address - Country:US
Practice Address - Phone:859-486-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY187101Y00000X
KY0929101YM0800X
KY103096101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100298970Medicaid