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General NPI Number Information
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NPI Number | 1902465313
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Entity Type | Organization
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Legal Business Name | MEADOWLARK COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 301 E DIVISION ST
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City | HARLOWTON
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State | MT
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Zip | 59036-5157
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Country | US
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Telephone | 406-220-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 205 RED FOX RD
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City | JUDITH GAP
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State | MT
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Zip | 59453-8201
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Country | US
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Telephone | 406-220-0707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMERALD J PARISI
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Credential | LCSW
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Telephone | 406-220-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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