NPI Code Detail JSON Logo

1275921496 NPI number — MICHELLE MEADOWS LPC, CPRP

NPI Number: 1275921496
Health Care Provider/Practitioner: MICHELLE MEADOWS LPC, CPRP

Information about “1275921496” NPI (MICHELLE MEADOWS LPC, CPRP) exists in 1275921496 in HTML format HTML  |  1275921496 in plain Text format TXT  |  1275921496 in PDF (Portable Document Format) PDF  |  1275921496 in an XML format XML  formats.

NPI Number : 1275921496 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275921496",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEADOWS",
    "FirstName": "MICHELLE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC, CPRP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13758 HWY 169",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENNVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30427-7202",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "912-764-9868",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11 N COLLEGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STATESBORO",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30458-5306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-764-9868",
    "PracticeLocationAddressFaxNumber": "912-764-5066",
    "EnumerationDate": "12/23/2014",
    "LastUpdateDate": "12/23/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "LPC007892",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.