Provider Demographics
NPI:1730973587
Name:MENG, MENG
Entity type:Individual
Prefix:
First Name:MENG
Middle Name:
Last Name:MENG
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 REPUBLICAN ST APT 311
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5533
Mailing Address - Country:US
Mailing Address - Phone:310-266-4174
Mailing Address - Fax:
Practice Address - Street 1:1170 REPUBLICAN ST APT 311
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5533
Practice Address - Country:US
Practice Address - Phone:310-266-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health