Provider Demographics
NPI:1679315485
Name:MEADOWLARK COUNSELING LLC
Entity type:Organization
Organization Name:MEADOWLARK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-670-0909
Mailing Address - Street 1:4225 TABLE MOUNTAIN PL
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-3692
Mailing Address - Country:US
Mailing Address - Phone:970-670-0909
Mailing Address - Fax:
Practice Address - Street 1:226 REMINGTON ST STE 1
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-7115
Practice Address - Country:US
Practice Address - Phone:970-670-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty