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 NPI 1255620605
Title
President
Phone
(706) 913-1774

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

110 W Crawford St
Ste 202
Dalton, GA 30720
Phone (706) 280-3286

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4989OtherGALPC

Other providers in Dalton, GA

All providers in Dalton, GA · Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

Sources for this page

Verify at the official NPI Registry.