Provider Demographics
NPI:1902535289
Name:MEYERS & ASSOCIATES THERAPEUTIC COUNSELING LLC
Entity Type:Organization
Organization Name:MEYERS & ASSOCIATES THERAPEUTIC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED PROFESSIONAL CLINIC
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, NCC
Authorized Official - Phone:859-479-2971
Mailing Address - Street 1:33 ROSE TERRACE
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017
Mailing Address - Country:US
Mailing Address - Phone:859-479-2971
Mailing Address - Fax:
Practice Address - Street 1:33 ROSE TERRACE
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:859-479-2971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty