Individual provider · Type 1 NPI

Meranda Puckett

Addiction (Substance Use Disorder) Counselor · Groveport, OH

NPI number 1104563360 Active

Practice location

6020 Groveport Rd
Groveport, OH 43125-1005

Call (614) 567-6274 Map

Fax (855) 604-0927

Mailing address

211 S 5th St
Columbus, OH 43215-5203

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.184779 (OH)
Home Health Aide 374U00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104563360

Meranda Puckett's National Provider Identifier is 1104563360, issued on May 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Groveport, OH. The record was last updated on Jul 15, 2026.