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General NPI Number Information
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NPI Number | 1962891788
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Entity Type | Individual
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Provider Name | MR. DELIONEL B MEADOWS SR.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2680 OPITZ BLVD STE 220
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City | WOODBRIDGE
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State | VA
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Zip | 22192-6821
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Country | US
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Telephone | 703-497-1771
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Fax |
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Provider Business Mailing Address
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Address Line | 18011 SUTERSMILL WAY
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City | DUMFRIES
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State | VA
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Zip | 22026-4571
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Country | US
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Telephone | 703-686-4764
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701014432
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License Number State | VA
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