Healthcare Provider Details

I. General information

NPI: 1902465313
Provider Name (Legal Business Name): MEADOWLARK COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E DIVISION ST
HARLOWTON MT
59036-5157
US

IV. Provider business mailing address

205 RED FOX RD
JUDITH GAP MT
59453-8201
US

V. Phone/Fax

Practice location:
  • Phone: 406-220-0707
  • Fax:
Mailing address:
  • Phone: 406-220-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMERALD J PARISI
Title or Position: OWNER
Credential: LCSW
Phone: 406-220-0707