Provider Demographics
NPI:1386278042
Name:EATMAN, META LORETTA (MSW)
Entity type:Individual
Prefix:MRS
First Name:META
Middle Name:LORETTA
Last Name:EATMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:META
Other - Middle Name:LORETTA
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2021
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-1880
Mailing Address - Country:US
Mailing Address - Phone:205-607-2331
Mailing Address - Fax:205-278-8755
Practice Address - Street 1:600 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-3649
Practice Address - Country:US
Practice Address - Phone:205-607-2331
Practice Address - Fax:205-607-2331
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty