Provider Demographics
NPI:1699473488
Name:MEYRER, DEVIN C (LLMSW)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:C
Last Name:MEYRER
Suffix:
Gender:M
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 PLYMOUTH RD APT 412
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-3997
Mailing Address - Country:US
Mailing Address - Phone:314-630-9323
Mailing Address - Fax:
Practice Address - Street 1:260 S UNION ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1612
Practice Address - Country:US
Practice Address - Phone:734-531-8563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-21
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851114739101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty