Provider Demographics
NPI:1295396836
Name:CHANDLER, MENEIKA L (LPC)
Entity Type:Individual
Prefix:
First Name:MENEIKA
Middle Name:L
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:LPC
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 962
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477-0962
Mailing Address - Country:US
Mailing Address - Phone:540-414-4561
Mailing Address - Fax:877-363-9068
Practice Address - Street 1:2857 STUARTS DRAFT HWY UNIT 121
Practice Address - Street 2:
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477-2692
Practice Address - Country:US
Practice Address - Phone:540-414-4561
Practice Address - Fax:877-363-9068
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional