Individual
GEORGIANA B MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
2400 W DUNLAP AVE, SUITE #300, PHOENIX, AZ 85021-2817
(602) 943-2999
(602) 943-4284
Mailing address
2400 W DUNLAP AVE, SUITE #300, PHOENIX, AZ 85021-2817
(602) 943-2999
(602) 943-4284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00852
IA
101YP2500X
Professional Counselor
Primary
LPC 10240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BLUE CROSS/BLUE SHIELD
IA
01
—
242712
MIDLANDS CHOICE
IA
Enumeration date
10/17/2006
Last updated
01/24/2012
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