Provider Demographics
NPI:1164610200
Name:MEEKS, DIANA LEE (LMHCA)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:LEE
Last Name:MEEKS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28487
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98228-0487
Mailing Address - Country:US
Mailing Address - Phone:360-599-8698
Mailing Address - Fax:
Practice Address - Street 1:1430 N GARDEN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4507
Practice Address - Country:US
Practice Address - Phone:360-599-8698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61456626101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor