The Meadows Edge, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

4989 Issued in 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

Last updated

Jun 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelley B Hankins, LPCNPI 1255620605

Title

President

Phone

(706) 913-1774

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley B Hankins, LPC

  • Mental Health Counselor
  • Dalton, GA
  • NPI 1255620605
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1508155276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W CRAWFORD ST",
            "address_2": "SUITE 202",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307204201",
            "telephone_number": "706-913-1774",
            "fax_number": "706-529-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W CRAWFORD ST",
            "address_2": "SUITE 202",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307204201",
            "telephone_number": "706-913-1774",
            "fax_number": "706-529-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEADOWS EDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-913-1774",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Dalton, GA
• Providers in Dalton, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.