Provider Demographics
NPI:1851925184
Name:OUR MEADOWS LLC
Entity Type:Organization
Organization Name:OUR MEADOWS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUBEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-726-3535
Mailing Address - Street 1:12110 BUSINESS BLVD
Mailing Address - Street 2:STE 34
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577
Mailing Address - Country:US
Mailing Address - Phone:907-726-3535
Mailing Address - Fax:907-696-3430
Practice Address - Street 1:12110 BUSINESS BLVD STE 34
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7741
Practice Address - Country:US
Practice Address - Phone:907-726-3535
Practice Address - Fax:907-696-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty