Provider Demographics
NPI:1902510522
Name:OESS, MEREDITH COLLEEN (APC, NCC, MS)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:COLLEEN
Last Name:OESS
Suffix:
Gender:F
Credentials:APC, NCC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 HORIZON BLVD APT 1225
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-1194
Mailing Address - Country:US
Mailing Address - Phone:678-267-6573
Mailing Address - Fax:
Practice Address - Street 1:45 W CROSSVILLE RD STE 514B
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2964
Practice Address - Country:US
Practice Address - Phone:770-702-2982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC008642101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional