Provider Demographics
NPI:1699767749
Name:MEADOWS, ALYSON LYNN (MS LPC CPC NCC)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:LYNN
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MS LPC CPC NCC
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:LYNN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:985 S 50TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-1913
Mailing Address - Country:US
Mailing Address - Phone:402-813-2487
Mailing Address - Fax:
Practice Address - Street 1:7561 MAIN ST
Practice Address - Street 2:STE 417
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-3981
Practice Address - Country:US
Practice Address - Phone:402-813-2487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1434101Y00000X
NE2681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85444OtherBCBS
NE240322OtherMIDLANDS CHOICE CACTUS ID