1790080141 NPI number — MRS. BECKY STARR MEIDLING MT-BC, CAP, LMHC

Table of content: MRS. BECKY STARR MEIDLING MT-BC, CAP, LMHC (NPI 1790080141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790080141 NPI number — MRS. BECKY STARR MEIDLING MT-BC, CAP, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEIDLING
Provider First Name:
BECKY
Provider Middle Name:
STARR
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MT-BC, CAP, LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790080141
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 PRUDENTIAL DR
Provider Second Line Business Mailing Address:
HOWARD 510
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32207-8202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-202-4518
Provider Business Mailing Address Fax Number:
904-202-2436

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 PRUDENTIAL DR
Provider Second Line Business Practice Location Address:
HOWARD 510
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32207-8202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-202-4518
Provider Business Practice Location Address Fax Number:
904-202-2436
Provider Enumeration Date:
01/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  MH 7717 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YA0400X , with the licence number: 2552W , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com