Provider Demographics
NPI:1467555003
Name:MEADOWS COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:MEADOWS COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:816-390-8481
Mailing Address - Street 1:3715 BECK RD
Mailing Address - Street 2:BLDG C
Mailing Address - City:ST JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3685
Mailing Address - Country:US
Mailing Address - Phone:816-390-8481
Mailing Address - Fax:816-676-1148
Practice Address - Street 1:3715 BECK RD
Practice Address - Street 2:BLDG C
Practice Address - City:ST JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3685
Practice Address - Country:US
Practice Address - Phone:816-390-8481
Practice Address - Fax:816-676-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0013441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
27311022OtherBCBS
MOS894132Medicare ID - Type Unspecified