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NPI Code Detail

MEDICARE: MEADOWLIGHT COUNSELING LLC

MEDICARE: MEADOWLIGHT COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1245190180
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEADOWLIGHT COUNSELING LLC
Provider Business Mailing Address
First Line : 15150 W PARK PL FL 2
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-2385
Country : US
Telephone Number : 623-239-1223
Fax Number :
Provider Business Practice Location Address
First Line : 15150 W PARK PL FL 2
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-2385
Country : US
Telephone Number : 623-239-1223
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MARLEE GORDON
Credential : MC, LPC
Telephone Number : 623-239-1223
Provider Enumeration Date : 11/13/2025
Last Update Date : 11/13/2025

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Directions to “MEADOWLIGHT COUNSELING LLC ” Practice Location

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