Healthcare Provider Details

I. General information

NPI: 1881607851
Provider Name (Legal Business Name): MEGUEL MEYERS LAPSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 PHELAN AVE
MEMPHIS TN
38126-4005
US

IV. Provider business mailing address

575 PHELAN AVE
MEMPHIS TN
38126-4005
US

V. Phone/Fax

Practice location:
  • Phone: 901-523-8990
  • Fax:
Mailing address:
  • Phone: 901-523-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCSW0000006736
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: