Provider Demographics
NPI:1316386816
Name:MENG, ADRIANE JOY (LPC)
Entity Type:Individual
Prefix:
First Name:ADRIANE
Middle Name:JOY
Last Name:MENG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ADRIANE
Other - Middle Name:JOY
Other - Last Name:PECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7621 CEDARBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-9411
Mailing Address - Country:US
Mailing Address - Phone:208-340-5513
Mailing Address - Fax:
Practice Address - Street 1:440 W PENNWOOD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8602
Practice Address - Country:US
Practice Address - Phone:208-888-5905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC4800101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional