The Meadows Edge, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Dalton, GA
NPI 1508155276 · NPPES record last updated Jun 13, 2011
Key facts
- NPI
- 1508155276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 4989 (GA)
- Legal business name
- THE MEADOWS EDGE, LLC
- Practice address
- 110 W Crawford St
Suite 202
Dalton, GA 30720-4201 - Phone
- (706) 913-1774
- Fax
- (706) 529-4199
- NPI assigned
- Apr 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Shelley B Hankins, LPC
- Title
- President
- Phone
- (706) 913-1774
Practitioners 1
-
Shelley B Hankins, LPC
National Provider Directory
Locations
110 W Crawford St
Ste 202
Dalton, GA 30720
Phone (706) 280-3286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 4989 | GA | Yes |
Addresses
Primary practice location
110 W Crawford St
Suite 202
Dalton, GA 30720-4201
Mailing address
110 W Crawford St
Suite 202
Dalton, GA 30720-4201
Phone (706) 913-1774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4989 | Other | GA | LPC |
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All providers in Dalton, GA · Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.