MEDICARE: HAILEE JO MEEKER LCMHCA, LCASA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-31493	NC
2	101YM0800X	Mental Health Counselor	A22735	NC

General Provider Information

NPI Number	:	1578415915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILEE JO MEEKER LCMHCA, LCASA

Provider Business Mailing Address
First Line	:	114 WEDGEWOOD DR
Second Line	:
City	:	LELAND
State	:	NC
Zip	:	28451-8282
Country	:	US
Telephone Number	:	269-290-4950
Fax Number	:

Provider Business Practice Location Address
First Line	:	5027 WRIGHTSVILLE AVE
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-7046
Country	:	US
Telephone Number	:	910-380-5994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	03/24/2026

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