Healthcare Provider Details

I. General information

NPI: 1871458141
Provider Name (Legal Business Name): MEYLOR THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2912 HAMILTON BLVD STE 105
SIOUX CITY IA
51104-2423
US

IV. Provider business mailing address

2912 HAMILTON BLVD STE 105
SIOUX CITY IA
51104-2423
US

V. Phone/Fax

Practice location:
  • Phone: 712-224-0122
  • Fax: 712-224-0123
Mailing address:
  • Phone: 712-224-0122
  • Fax: 712-224-0123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELISSA MEYLOR
Title or Position: OWNER
Credential: LMFT
Phone: 712-224-0122