Provider Demographics
NPI:1528729704
Name:MEEKS, ALEXIS WYATT (LMFT, PLPC)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:WYATT
Last Name:MEEKS
Suffix:
Gender:F
Credentials:LMFT, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5724
Mailing Address - Country:US
Mailing Address - Phone:318-323-1505
Mailing Address - Fax:
Practice Address - Street 1:1904 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5724
Practice Address - Country:US
Practice Address - Phone:318-323-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8542101YM0800X
LAMFT1426106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health