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General NPI Number Information
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NPI Number | 1669186862
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Entity Type | Organization
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Legal Business Name | MEADOW LANE COUNSELING PLLC
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 404 E RAMSEY RD STE 114
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4666
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Country | US
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Telephone | 210-906-8962
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Fax |
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Provider Business Mailing Address
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Address Line | 17503 LA CANTERA PKWY STE 104-487
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City | SAN ANTONIO
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State | TX
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Zip | 78257-8207
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MADISON SKILLETT
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Credential |
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Telephone | 210-906-8962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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