Provider Demographics
NPI:1104364330
Name:DR GREGORY S MEEK LMHC LLC
Entity Type:Organization
Organization Name:DR GREGORY S MEEK LMHC LLC
Other - Org Name:EAST ORLANDO COUNSELING & DEVELOPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MNG MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-490-2904
Mailing Address - Street 1:1540 LAKE BALDWIN LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6679
Mailing Address - Country:US
Mailing Address - Phone:407-490-2904
Mailing Address - Fax:
Practice Address - Street 1:1540 LAKE BALDWIN LN
Practice Address - Street 2:SUITE B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6679
Practice Address - Country:US
Practice Address - Phone:407-490-2904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty