Provider Demographics
NPI:1780059246
Name:MEADOWBROOK COUNSELING CENTER
Entity type:Organization
Organization Name:MEADOWBROOK COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTMORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDC, DCC
Authorized Official - Phone:806-433-0257
Mailing Address - Street 1:3418 OLSEN BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3074
Mailing Address - Country:US
Mailing Address - Phone:806-433-0257
Mailing Address - Fax:877-795-7313
Practice Address - Street 1:3418 OLSEN BLVD STE E
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3074
Practice Address - Country:US
Practice Address - Phone:806-433-0257
Practice Address - Fax:877-795-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty