Provider Demographics
NPI:1922545029
Name:GRETTA MEEKER COUNSELING INC
Entity Type:Organization
Organization Name:GRETTA MEEKER COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEEKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:850-982-3549
Mailing Address - Street 1:115 S GARRETT ST
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-3137
Mailing Address - Country:US
Mailing Address - Phone:850-982-3549
Mailing Address - Fax:
Practice Address - Street 1:2105 S 54TH ST STE 2
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8191
Practice Address - Country:US
Practice Address - Phone:479-268-4557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1701222251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health