Provider Demographics
NPI:1861565574
Name:MEEKS, ROBERT HEATH (LCSW, NBCFCH, SAP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:HEATH
Last Name:MEEKS
Suffix:
Gender:M
Credentials:LCSW, NBCFCH, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1391
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-1391
Mailing Address - Country:US
Mailing Address - Phone:870-219-6312
Mailing Address - Fax:870-932-4744
Practice Address - Street 1:484 COUNTY ROAD 7593
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7764
Practice Address - Country:US
Practice Address - Phone:870-219-6312
Practice Address - Fax:925-955-4744
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1870-C101YA0400X, 101YP2500X
AR1870C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5U265Medicare ID - Type Unspecified