Basic Information
Provider Information
NPI: 1811336399
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCMEEKIN
FirstName: HEIDI
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: M.A., L.P.C., N.C.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2442 E MAPLE AVE
Address2: SUITE 204
City: FLINT
State: MI
PostalCode: 485074462
CountryCode: US
TelephoneNumber: 8102082487
FaxNumber:  
Practice Location
Address1: 1063 PROFESSIONAL DR
Address2: SUITE D-4
City: FLINT
State: MI
PostalCode: 485323636
CountryCode: US
TelephoneNumber: 8104964935
FaxNumber: 8106528062
Other Information
ProviderEnumerationDate: 06/18/2013
LastUpdateDate: 02/10/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X6401011782MIY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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