MEDICARE: MEYLOR THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1871458141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEYLOR THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	2912 HAMILTON BLVD STE 105
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-2423
Country	:	US
Telephone Number	:	712-224-0122
Fax Number	:	712-224-0123

Provider Business Practice Location Address
First Line	:	2912 HAMILTON BLVD STE 105
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-2423
Country	:	US
Telephone Number	:	712-224-0122
Fax Number	:	712-224-0123

Authorized Official
Title or Position	:	OWNER
Name	:	ELISSA MEYLOR
Credential	:	LMFT
Telephone Number	:	712-224-0122

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “MEYLOR THERAPY SERVICES, LLC ” Practice Location

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