Provider Demographics
NPI:1790646289
Name:MERIDIAN COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:MERIDIAN COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SODERGREN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, IAADC, RPT
Authorized Official - Phone:760-828-5477
Mailing Address - Street 1:3209 INGERSOLL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-3920
Mailing Address - Country:US
Mailing Address - Phone:515-528-7828
Mailing Address - Fax:
Practice Address - Street 1:3209 INGERSOLL AVE STE 100
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-3920
Practice Address - Country:US
Practice Address - Phone:515-528-7828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty