Basic Information
| Provider Information | |||||||||
| NPI: | 1912335340 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEINECKE | ||||||||
| FirstName: | ALISON | ||||||||
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| Credential: | MS, PLPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1165 MACE RD | ||||||||
| Address2: | |||||||||
| City: | OSAGE BEACH | ||||||||
| State: | MO | ||||||||
| PostalCode: | 650659723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6607488405 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1091 MIDWAY DR | ||||||||
| Address2: | |||||||||
| City: | LINN CREEK | ||||||||
| State: | MO | ||||||||
| PostalCode: | 650521687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5733466758 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2013 | ||||||||
| LastUpdateDate: | 10/22/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 2013035393 | MO | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.