Provider Demographics
NPI:1043457120
Name:MYERS, MELIKE Z (MBA, CHE, RC)
Entity Type:Individual
Prefix:MRS
First Name:MELIKE
Middle Name:Z
Last Name:MYERS
Suffix:
Gender:F
Credentials:MBA, CHE, RC
Other - Prefix:MS
Other - First Name:MELIKE
Other - Middle Name:Z
Other - Last Name:YAVUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHENG
Mailing Address - Street 1:20810 76TH AVE W
Mailing Address - Street 2:APT # 6
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7158
Mailing Address - Country:US
Mailing Address - Phone:425-774-3666
Mailing Address - Fax:425-774-3666
Practice Address - Street 1:20903 70TH AVE W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7201
Practice Address - Country:US
Practice Address - Phone:425-672-3333
Practice Address - Fax:425-712-0539
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC6003381171M00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator