Provider Demographics
NPI:1821755653
Name:MEADOW SPRINGS, LLC
Entity Type:Organization
Organization Name:MEADOW SPRINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALAT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:203-945-1619
Mailing Address - Street 1:1111 STRATFORD AVE APT 114
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-6370
Mailing Address - Country:US
Mailing Address - Phone:203-945-1619
Mailing Address - Fax:203-296-1504
Practice Address - Street 1:85 OLD RIDGEFIELD RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-3023
Practice Address - Country:US
Practice Address - Phone:203-945-1619
Practice Address - Fax:203-296-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty