Healthcare Provider Details
I. General information
NPI: 1760106074
Provider Name (Legal Business Name): TOGETHER WE ARE MEEK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2022
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 TANGLEWOOD DRIVE
COVINGTON GA
30016
US
IV. Provider business mailing address
220 TANGLEWOOD DRIVE
COVINGTON GA
30016
US
V. Phone/Fax
- Phone: 404-644-4418
- Fax:
- Phone: 404-640-2019
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CLAUDIA
MEEKS
Title or Position: CEO
Credential:
Phone: 404-640-2019