Provider Demographics
NPI:1629232079
Name:ORCHARD-BLOWEN, MEREDITH (LCMHC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:ORCHARD-BLOWEN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GREENLEAF WOODS DRIVE SUITE 202
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5503
Mailing Address - Country:US
Mailing Address - Phone:603-793-6402
Mailing Address - Fax:603-430-3753
Practice Address - Street 1:6 GREENLEAF WOODS DRIVE SUITE 202
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5503
Practice Address - Country:US
Practice Address - Phone:603-793-6402
Practice Address - Fax:603-430-3753
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99003227Medicaid
NH7706655Y0NH01OtherBHN
NH3227Medicare PIN