Provider Demographics
NPI:1477893154
Name:MEINE, LAUREL ANN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:ANN
Last Name:MEINE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 DOUGLAS ST.
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1044
Mailing Address - Country:US
Mailing Address - Phone:712-490-4825
Mailing Address - Fax:712-222-1433
Practice Address - Street 1:705 DOUGLAS ST STE 525
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1046
Practice Address - Country:US
Practice Address - Phone:712-490-4825
Practice Address - Fax:712-222-1433
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01054101YA0400X
IA00677101YM0800X
NE1186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional