Healthcare Provider Details

I. General information

NPI: 1194652933
Provider Name (Legal Business Name): MICHAEL MEYERS LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 S 670 W # 100
LINDON UT
84042-2094
US

IV. Provider business mailing address

170 S INTERSTATE PLZ STE 100
LEHI UT
84043-8601
US

V. Phone/Fax

Practice location:
  • Phone: 385-236-4500
  • Fax: 801-305-4075
Mailing address:
  • Phone: 385-236-4500
  • Fax: 801-305-4075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number9717457-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: