Healthcare Provider Details

I. General information

NPI: 1164126223
Provider Name (Legal Business Name): MEEK MARRIAGE AND FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 N MAIN ST STE 210
MANTECA CA
95336-4632
US

IV. Provider business mailing address

275 N MAIN ST STE 210
MANTECA CA
95336-4632
US

V. Phone/Fax

Practice location:
  • Phone: 408-922-9913
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE MEEK
Title or Position: CEO
Credential: LMFT 130641
Phone: 408-922-9913