Provider Demographics
NPI:1841413986
Name:MEEKS, AYANA LATRICE (BA)
Entity Type:Individual
Prefix:MRS
First Name:AYANA
Middle Name:LATRICE
Last Name:MEEKS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8574 MONTPELIER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-7247
Mailing Address - Country:US
Mailing Address - Phone:916-424-8984
Mailing Address - Fax:916-424-8984
Practice Address - Street 1:8574 MONTPELIER WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-7247
Practice Address - Country:US
Practice Address - Phone:916-424-8984
Practice Address - Fax:916-424-8984
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor