Provider Demographics
NPI:1427243229
Name:MEEK, JOLIE DAWNYALE (LMSW)
Entity type:Individual
Prefix:
First Name:JOLIE
Middle Name:DAWNYALE
Last Name:MEEK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 N CLEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-8030
Mailing Address - Country:US
Mailing Address - Phone:316-777-9144
Mailing Address - Fax:
Practice Address - Street 1:1310 N CLEVELAND RD
Practice Address - Street 2:
Practice Address - City:MULVANE
Practice Address - State:KS
Practice Address - Zip Code:67110-8030
Practice Address - Country:US
Practice Address - Phone:316-777-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5059104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker