Provider Demographics
NPI:1538329875
Name:MYERS, MICHELLE SIMONE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:SIMONE
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:SIMONE
Other - Last Name:HONEYCUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:# 2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:FORT LIBERTY
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:# 2817
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-8707
Practice Address - Fax:910-907-6069
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0039121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical