| Organization Name: | MICHELLE MECKLER, MA, LMHC, PROFESSIONAL COUNSELOR / THERAPIST LLC |
| NPI Number: | 1619386331 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE MECKLER (OWNER) |
| Mailing Address: | 5 Bayberry Ct Nantucket |
| State: | MA US |
| Postal Code: | 025544043 |
| Phone Number: | 5082212396 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 09/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |