Meadow Bridge Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MEADOW BRIDGE COUNSELING LLC

Practice address

4102 Richmond MDWS Ste a
Texarkana, TX 75503-0067

Phone

(903) 278-7418

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Shauna Loe, LPCNPI 1417486267

Title

LLC Member

Phone

(903) 278-7418

Specialties & licenses 2

Addresses

Other names 1

• Meadow Bridge Counseling LLC Other name

Locations

Practitioners 1

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

• Shauna Loe

  • Professional Counselor
  • Texarkana, TX
  • NPI 1417486267
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1831884352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6671",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755056671",
            "telephone_number": "903-278-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 RICHMOND MDWS STE A",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030067",
            "telephone_number": "903-278-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BRIDGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "LOE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "903-278-7418",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Bridge Counseling LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher McMillan, M.D.
• Donald McMillan, M.D.
• Joyce Ann McMurry, APRN
• Jessica Rene McWhorter
• Lindsay Michaela Meador, COTA
• Med Southwest, PLLC
• Medeval, LLC
• Medical Center Medical Group
• Medical Investments of Texarkana LLC
• Medical Specialists of Texarkana

• Professional Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.