Provider Demographics
NPI:1417622531
Name:MEEKS, TIMOTHY (LMSW)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:MEEKS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 VIRGINA PINE WAY
Mailing Address - Street 2:STE 202
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932
Mailing Address - Country:US
Mailing Address - Phone:865-407-0071
Mailing Address - Fax:865-217-1109
Practice Address - Street 1:10700 VIRGINA PINE WAY
Practice Address - Street 2:STE 202
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932
Practice Address - Country:US
Practice Address - Phone:865-407-0071
Practice Address - Fax:865-217-1109
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12431104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker