Provider Demographics
NPI:1285248005
Name:MEEKS, LAURA (MS, APC)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:MEEKS
Suffix:
Gender:F
Credentials:MS, APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 PEACHTREE INDUSTRIAL BLVD UNIT 3921
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-5237
Mailing Address - Country:US
Mailing Address - Phone:404-480-3332
Mailing Address - Fax:
Practice Address - Street 1:1929 WHITEHAWK CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-6641
Practice Address - Country:US
Practice Address - Phone:404-480-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC006740101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health