Provider Demographics
NPI:1356094684
Name:TANKARD, MEREDITH L (LCMHC-A)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:L
Last Name:TANKARD
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:LOCKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 HIGH HOUSE ROAD SUITE 108
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:206 HIGH HOUSE ROAD SUITE 108
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:919-305-3107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17160101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health