Provider Demographics
NPI:1134299423
Name:MEACHAM, BELINDA ELAINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:ELAINE
Last Name:MEACHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:THURMAN
Other - Last Name:MEACHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:8161 ADVENT CUTOFF ROAD
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173
Mailing Address - Country:US
Mailing Address - Phone:205-655-1648
Mailing Address - Fax:
Practice Address - Street 1:129 E PARK CIRCLE
Practice Address - Street 2:EASTSIDE MENTAL HEALTH CENTER
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3000
Practice Address - Country:US
Practice Address - Phone:205-836-7286
Practice Address - Fax:205-836-9594
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1507C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51555639Medicare ID - Type Unspecified