Provider Demographics
NPI:1659555217
Name:MEADOWS, MARSHA A (MA, LPC, CCTP-II)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:A
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MA, LPC, CCTP-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 E BALTIMORE PIKE
Mailing Address - Street 2:1042
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1864
Mailing Address - Country:US
Mailing Address - Phone:302-353-0930
Mailing Address - Fax:302-252-7021
Practice Address - Street 1:873 EAST BALTIMORE PIKE
Practice Address - Street 2:1042
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1864
Practice Address - Country:US
Practice Address - Phone:302-353-0930
Practice Address - Fax:302-252-7021
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
PAPC012227101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health