Provider Demographics
NPI:1336388925
Name:MEADOWS, ELIZA SAGE (LMHC, CN)
Entity Type:Individual
Prefix:
First Name:ELIZA
Middle Name:SAGE
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:LMHC, CN
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:68 GROVE ST STE A4
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3345
Mailing Address - Country:US
Mailing Address - Phone:828-214-7867
Mailing Address - Fax:
Practice Address - Street 1:68 GROVE ST STE A4
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3345
Practice Address - Country:US
Practice Address - Phone:828-214-7867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU00002004133N00000X
WALH60196405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133N00000XDietary & Nutritional Service ProvidersNutritionist