1467555003 NPI number — MEADOWS COUNSELING SERVICES INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467555003 NPI number — MEADOWS COUNSELING SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEADOWS COUNSELING SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467555003
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3715 BECK RD
Provider Second Line Business Mailing Address:
BLDG C
Provider Business Mailing Address City Name:
ST JOSEPH
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64506-3685
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-390-8481
Provider Business Mailing Address Fax Number:
816-676-1148

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3715 BECK RD
Provider Second Line Business Practice Location Address:
BLDG C
Provider Business Practice Location Address City Name:
ST JOSEPH
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64506-3685
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-390-8481
Provider Business Practice Location Address Fax Number:
816-676-1148
Provider Enumeration Date:
09/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MEADOWS
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
MAY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
816-390-8481

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW001344 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 27311022 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




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