Provider Demographics
NPI:1386086700
Name:STABLE MEADOWS LLC
Entity type:Organization
Organization Name:STABLE MEADOWS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-948-8644
Mailing Address - Street 1:2590 JACKS CREEK PIKE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-9514
Mailing Address - Country:US
Mailing Address - Phone:859-948-8644
Mailing Address - Fax:
Practice Address - Street 1:2220 EXECUTIVE DR STE 103
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-4871
Practice Address - Country:US
Practice Address - Phone:859-948-8644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center