Provider Demographics
NPI:1477943462
Name:MEADOWLARK COUNSELING
Entity Type:Organization
Organization Name:MEADOWLARK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DALEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:307-686-0808
Mailing Address - Street 1:201 W LAKEWAY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-6307
Mailing Address - Country:US
Mailing Address - Phone:307-686-0808
Mailing Address - Fax:888-491-5505
Practice Address - Street 1:201 W LAKEWAY RD STE 400
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-6307
Practice Address - Country:US
Practice Address - Phone:307-686-0808
Practice Address - Fax:888-491-5505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103T00000X
WY545103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY138736700Medicaid
CO60229551Medicaid
COCOAAA0791OtherMEDICARE INDIVIDUAL
WY139588200Medicaid