Individual provider · Type 1 NPI

Meagan Odenthal

Peer Specialist · Shirley, NY

NPI number 1740134055 Active

Practice location

2 Coraci Blvd Ste 15&16
Shirley, NY 11967-4833

Mailing address

1377 Motor Pkwy Ste 102
Islandia, NY 11749-5249

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1740134055

Meagan Odenthal's National Provider Identifier is 1740134055, issued on Feb 24, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shirley, NY. The record was last updated on Feb 24, 2026.