# MERIDIAN LIFESTYLE COLLECTIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942124045
- **Authorized official:** SHAWNI MITCHELL (CEO/PRESIDENT)
- **Authorized official phone:** (254) 382-8020

## Contact information

- **Practice address:** 1322 SPACE PARK DR, HOUSTON, TX 77058-3400
- **Practice address phone:** (929) 483-8420
- **Mailing address:** 18214 UPPER BAY RD \# 58851, HOUSTON, TX 77058-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |

## Other

- **Enumeration date:** 08/10/2026
- **Last updated:** 08/10/2026