MEDICARE: MRS. LAUREN PORTER MYERS MA, LPC-MHSP, CPA

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	101YP2500X	Professional Counselor	0000002405	TN

General Provider Information

NPI Number	:	1932349198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN PORTER MYERS MA, LPC-MHSP, CPA

Provider Business Mailing Address
First Line	:	1220 8TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5004
Country	:	US
Telephone Number	:	616-742-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 8TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5004
Country	:	US
Telephone Number	:	616-742-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2009
Last Update Date	:	06/28/2011

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