NPI Code Detail JSON Logo

1083393425 NPI number — MEADOWLARK COUNSELING SERVICES LLC

NPI Number: 1083393425
Health Care Provider/Practitioner: MEADOWLARK COUNSELING SERVICES LLC

Information about “1083393425” NPI (MEADOWLARK COUNSELING SERVICES LLC) exists in 1083393425 in HTML format HTML  |  1083393425 in plain Text format TXT  |  1083393425 in PDF (Portable Document Format) PDF  |  1083393425 in an XML format XML  formats.

NPI Number : 1083393425 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083393425",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEADOWLARK COUNSELING SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "70 SW CENTURY DR STE 100 PMB 1226",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97702",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-697-3467",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "70 SW CENTURY DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-697-3467",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2023",
    "LastUpdateDate": "07/13/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MACHIA",
    "AuthorizedOfficialFirstName": "TIFFANY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEMBER/MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "541-697-3467",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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