Healthcare Provider Details

I. General information

NPI: 1407631849
Provider Name (Legal Business Name): CHASE MEYERS LGPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 BALTIMORE PIKE
BEL AIR MD
21014-4212
US

IV. Provider business mailing address

802 BALTIMORE PIKE
BEL AIR MD
21014-4212
US

V. Phone/Fax

Practice location:
  • Phone: 443-643-2422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP15363
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: