Provider Demographics
NPI:1699297440
Name:NYERS, MEGHAN (APRN/LPC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:NYERS
Suffix:
Gender:F
Credentials:APRN/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 HUBBELL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9246
Mailing Address - Country:US
Mailing Address - Phone:843-810-4801
Mailing Address - Fax:
Practice Address - Street 1:109 RIVER LANDING DR STE 100B
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7300
Practice Address - Country:US
Practice Address - Phone:843-972-4404
Practice Address - Fax:843-972-4405
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6280101YM0800X
SC28502363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health