Provider Demographics
NPI:1871248195
Name:MEEKS, ELIZABETH HOPE (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HOPE
Last Name:MEEKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1251
Mailing Address - Country:US
Mailing Address - Phone:812-790-2599
Mailing Address - Fax:812-790-2187
Practice Address - Street 1:105 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1251
Practice Address - Country:US
Practice Address - Phone:812-886-3000
Practice Address - Fax:812-886-3010
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34009162A1041C0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical