Provider Demographics
NPI:1598643868
Name:MEEKINS, KIM DENISE
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:DENISE
Last Name:MEEKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6919 SWANHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5719
Mailing Address - Country:US
Mailing Address - Phone:804-317-3264
Mailing Address - Fax:804-743-4655
Practice Address - Street 1:6919 SWANHAVEN DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5719
Practice Address - Country:US
Practice Address - Phone:804-317-3264
Practice Address - Fax:804-743-4655
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704018348101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health