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NPI 1295150761

NPI 1295150761 : ELIZABETH MEYERS, LMSW : LANSING, MI

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General NPI Number Information
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    NPI Number           |    1295150761
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    Entity Type          |    Organization 
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    Legal Business Name  |    ELIZABETH MEYERS, LMSW 
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Dates
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    Enumeration Date     |    02/20/2014
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    Last Update Date     |    02/20/2014
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Provider Practice Location Address
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    Address Line         |    2535 E MOUNT HOPE AVE 
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    City                 |    LANSING
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    State                |    MI
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    Zip                  |    48910-1913
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    Country              |    US
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    Telephone            |    517-862-6554
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    Fax                  |    517-372-2542
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Provider Business Mailing Address
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    Address Line         |    2535 E MOUNT HOPE AVE 
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    City                 |    LANSING
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    State                |    MI
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    Zip                  |    48910-1913
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    Country              |    US
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    Telephone            |    517-862-6554
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    Fax                  |    517-372-2542
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Authorized Official
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    Title or Position    |    SOCIAL WORKER
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    Name                 |    MS. ELIZABETH  MEYERS 
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    Credential           |    LMSW
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    Telephone            |    517-862-6554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    6801016764
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    License Number State |    MI
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