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General NPI Number Information
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NPI Number | 1144178732
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Entity Type | Organization
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Legal Business Name | MEADOWS WELLNESS COLLECTIVE, LLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 23 MOTIF BLVD STE 103
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City | BROWNSBURG
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State | IN
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Zip | 46112-1065
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Country | US
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Telephone | 706-992-3236
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Fax |
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Provider Business Mailing Address
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Address Line | 694 HOHLIER LN
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City | AVON
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State | IN
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Zip | 46123-7311
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Country | US
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Telephone | 706-992-3236
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON J WALSH
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Credential | LMHC, NCC
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Telephone | 706-992-3236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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