Healthcare Provider Details

I. General information

NPI: 1053144535
Provider Name (Legal Business Name): DISCOVER YOU THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2154 CLYDESMILL RD
FAYETTEVILLE NC
28314-0814
US

IV. Provider business mailing address

2154 CLYDESMILL RD
FAYETTEVILLE NC
28314-0814
US

V. Phone/Fax

Practice location:
  • Phone: 803-236-2932
  • Fax:
Mailing address:
  • Phone: 803-236-2932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. TIARRA MICHELLE MYERS
Title or Position: THERAPIST
Credential: PH.D. LCSW
Phone: 803-236-2932