Provider Demographics
NPI:1427540400
Name:HODGES, MEREDITH (T-LMAC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:HODGES
Suffix:
Gender:F
Credentials:T-LMAC, LPC, NCC
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 356
Mailing Address - Street 2:
Mailing Address - City:BALDWIN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66006-0356
Mailing Address - Country:US
Mailing Address - Phone:785-893-4494
Mailing Address - Fax:
Practice Address - Street 1:1739 E 23RD ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-5017
Practice Address - Country:US
Practice Address - Phone:785-312-8292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3151101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health