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NPI Code Detail

MEDICARE: GEORGIANA B MEADOWS LPC, LMHC

MEDICARE:   GEORGIANA B MEADOWS  LPC, LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC 10240AZ
2101YM0800XMental Health Counselor00852IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2242712OTHERIAMIDLANDS CHOICE
307466OTHERIAWELLMARK BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1558441931
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGIANA B MEADOWS LPC, LMHC
Provider Business Mailing Address
First Line : 2400 W DUNLAP AVE
Second Line : SUITE #300
City : PHOENIX
State : AZ
Zip : 85021-2817
Country : US
Telephone Number : 602-943-2999
Fax Number : 602-943-4284
Provider Business Practice Location Address
First Line : 2400 W DUNLAP AVE
Second Line : SUITE #300
City : PHOENIX
State : AZ
Zip : 85021-2817
Country : US
Telephone Number : 602-943-2999
Fax Number : 602-943-4284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 06/14/2026

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Directions to “ GEORGIANA B MEADOWS LPC, LMHC” Practice Location

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