Provider Demographics
NPI:1144215278
Name:MEEK, AMY (MS, LCMFT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MEEK
Suffix:
Gender:F
Credentials:MS, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 RIVERVIEW ST
Mailing Address - Street 2:SUITE LL2
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4200
Mailing Address - Country:US
Mailing Address - Phone:316-262-5253
Mailing Address - Fax:316-262-7202
Practice Address - Street 1:606 MULBERRY RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-3532
Practice Address - Country:US
Practice Address - Phone:316-788-4335
Practice Address - Fax:316-262-7202
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS225106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0007175383OtherAETNA
KS354397000OtherGREEN SPRING
KS318914OtherMANAGED HEALTH NETWORK
KS14146673OtherWAUSAU
KS2077333OtherCIGNA BEHAVIORAL HEALTH
KS383499OtherBCBS