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General NPI Number Information
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NPI Number | 1699108761
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Entity Type | Individual
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Provider Name | BETHANY BUTLER MYERS LSCSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 832 S COOPER ST
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City | MEMPHIS
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State | TN
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Zip | 38104-5409
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Country | US
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Telephone | 816-895-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 197 S IDLEWILD ST
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City | MEMPHIS
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State | TN
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Zip | 38104-6118
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Country | US
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Telephone | 913-544-5586
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5221
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2009008890
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9990
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License Number State | TN
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