Provider Demographics
NPI:1518334366
Name:MEI, EVETTE
Entity Type:Individual
Prefix:
First Name:EVETTE
Middle Name:
Last Name:MEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EVETTE
Other - Middle Name:
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18217 W CAROL AVE
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-4227
Mailing Address - Country:US
Mailing Address - Phone:602-284-4421
Mailing Address - Fax:
Practice Address - Street 1:18217 W CAROL AVE
Practice Address - Street 2:
Practice Address - City:WADDELL
Practice Address - State:AZ
Practice Address - Zip Code:85355-4227
Practice Address - Country:US
Practice Address - Phone:602-284-4421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ189541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical