Healthcare Provider Details

I. General information

NPI: 1871058800
Provider Name (Legal Business Name): MACAYLA RAIN MEYERS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 S COAST HWY # 634
LAGUNA BEACH CA
92651-3681
US

IV. Provider business mailing address

4749 NARRAGANSETT AVE
SAN DIEGO CA
92107-2202
US

V. Phone/Fax

Practice location:
  • Phone: 619-547-1856
  • Fax:
Mailing address:
  • Phone: 707-227-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT158922
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: