Provider Demographics
NPI:1982742169
Name:MEIXNER, NANCY SUE (MS, LCPC, LMHC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:SUE
Last Name:MEIXNER
Suffix:
Gender:F
Credentials:MS, LCPC, LMHC
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:MEIXNER
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCPC, LMHC
Mailing Address - Street 1:807 OJAI AVE
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5110
Mailing Address - Country:US
Mailing Address - Phone:813-633-1681
Mailing Address - Fax:
Practice Address - Street 1:4425 PARK BLVD
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3540
Practice Address - Country:US
Practice Address - Phone:727-547-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6672101YM0800X
MD0568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional