Provider Demographics
NPI:1558235259
Name:MEADOWBROOK COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:MEADOWBROOK COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CADCI, LMHC
Authorized Official - Phone:971-409-5028
Mailing Address - Street 1:1541 NE 146TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-4122
Mailing Address - Country:US
Mailing Address - Phone:971-409-5028
Mailing Address - Fax:
Practice Address - Street 1:1541 NE 146TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-4122
Practice Address - Country:US
Practice Address - Phone:971-409-5028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health