Provider Demographics
NPI:1770240798
Name:MEADOWS COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:MEADOWS COUNSELING CENTER LLC
Other - Org Name:THE MEADOW COUNSELING CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-827-7405
Mailing Address - Street 1:1224 US HIGHWAY 1 STE C
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3539
Mailing Address - Country:US
Mailing Address - Phone:561-246-4866
Mailing Address - Fax:561-363-4388
Practice Address - Street 1:1224 US HWY 1 STE B & C
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3539
Practice Address - Country:US
Practice Address - Phone:561-246-4866
Practice Address - Fax:561-363-4388
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNSET HOUSE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-24
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder