Provider Demographics
NPI:1467556464
Name:MEIGHEN, VENCENT (LPC LMFT ADC III)
Entity Type:Individual
Prefix:MR
First Name:VENCENT
Middle Name:
Last Name:MEIGHEN
Suffix:
Gender:M
Credentials:LPC LMFT ADC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 CRESTED PEAK COURT
Mailing Address - Street 2:
Mailing Address - City:SANTA TERESA
Mailing Address - State:NM
Mailing Address - Zip Code:88008
Mailing Address - Country:US
Mailing Address - Phone:915-568-0519
Mailing Address - Fax:915-566-2056
Practice Address - Street 1:4625 ALABAMA ST
Practice Address - Street 2:C
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920
Practice Address - Country:US
Practice Address - Phone:915-566-2000
Practice Address - Fax:915-566-2056
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10816101Y00000X
TX2350106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist