Provider Demographics
NPI:1902512551
Name:MEADOWS, ANGELA MARIE DAWSON (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA MARIE
Middle Name:DAWSON
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:MARIE
Other - Last Name:DAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1017
Mailing Address - Street 2:
Mailing Address - City:FIELDALE
Mailing Address - State:VA
Mailing Address - Zip Code:24089-1017
Mailing Address - Country:US
Mailing Address - Phone:276-477-7382
Mailing Address - Fax:
Practice Address - Street 1:5369 PETERS CREEK RD NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-3849
Practice Address - Country:US
Practice Address - Phone:540-344-9501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012152101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional