Provider Demographics
NPI:1902465313
Name:MEADOWLARK COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MEADOWLARK COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMERALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARISI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-220-0707
Mailing Address - Street 1:205 RED FOX RD
Mailing Address - Street 2:
Mailing Address - City:JUDITH GAP
Mailing Address - State:MT
Mailing Address - Zip Code:59453-8201
Mailing Address - Country:US
Mailing Address - Phone:406-220-0707
Mailing Address - Fax:
Practice Address - Street 1:301 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:HARLOWTON
Practice Address - State:MT
Practice Address - Zip Code:59036-5157
Practice Address - Country:US
Practice Address - Phone:406-220-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center