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NPI Code Detail

MEDICARE: MR. JOSHUA MICHAEL MYERS LPC-I

MEDICARE:  MR. JOSHUA MICHAEL MYERS  LPC-I
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
1101YP2500XProfessional Counselor63765TX

General Provider Information

NPI Number : 1912175183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA MICHAEL MYERS LPC-I
Provider Business Mailing Address
First Line : 11754 JOLLYVILLE RD STE 110
Second Line :
City : AUSTIN
State : TX
Zip : 78759-3948
Country : US
Telephone Number : 512-331-2700
Fax Number : 512-219-5097
Provider Business Practice Location Address
First Line : 11754 JOLLYVILLE RD STE 110
Second Line :
City : AUSTIN
State : TX
Zip : 78759-3948
Country : US
Telephone Number : 512-331-2700
Fax Number : 512-219-5097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2008
Last Update Date : 02/21/2022

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Directions to “ MR. JOSHUA MICHAEL MYERS LPC-I” Practice Location

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