Provider Demographics
NPI:1659555217
Name:MEADOWS, MARSHA A (MA, LPC, LCDP, LCADC)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:A
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MA, LPC, LCDP, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 DELAWARE AVENUE, SUITE 1205
Mailing Address - Street 2:THRIVEWORKS
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801
Mailing Address - Country:US
Mailing Address - Phone:302-313-0236
Mailing Address - Fax:
Practice Address - Street 1:300 DELAWARE AVE STE 1205
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1670
Practice Address - Country:US
Practice Address - Phone:302-313-0236
Practice Address - Fax:302-656-0746
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
DEPC-0000673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)