Provider Demographics
NPI:1891770830
Name:MEEDS, LINDA KAYE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KAYE
Last Name:MEEDS
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:PO BOX 9021
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77387-9021
Mailing Address - Country:US
Mailing Address - Phone:936-321-0315
Mailing Address - Fax:
Practice Address - Street 1:2001 LADBROOK DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77339-3004
Practice Address - Country:US
Practice Address - Phone:281-358-1495
Practice Address - Fax:281-358-5182
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCSW 276561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0066JNOtherBLUE CROSS BLUE SHIELD
TX0066JNOtherBLUE CROSS BLUE SHIELD