Provider Demographics
NPI:1831482819
Name:MCMEEKIN, LAURA S (BA, CACII)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:S
Last Name:MCMEEKIN
Suffix:
Gender:F
Credentials:BA, CACII
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:S
Other - Last Name:KERSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 HORIZON DR STE 225
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2800 RIVERSIDE PKWY
Practice Address - Street 2:BLDG 2
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-4721
Practice Address - Country:US
Practice Address - Phone:970-245-4213
Practice Address - Fax:970-243-7297
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACB.0008449101YA0400X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)