Healthcare Provider Details

I. General information

NPI: 1548238637
Provider Name (Legal Business Name): ELIZABETH MEYERS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: ELIZABETH MEYERS LMSW

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 E MOUNT HOPE AVE
LANSING MI
48910-1913
US

IV. Provider business mailing address

324 HIGHLAND AVE
EAST LANSING MI
48823-4055
US

V. Phone/Fax

Practice location:
  • Phone: 517-862-6554
  • Fax:
Mailing address:
  • Phone: 517-336-9364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801016764
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: