Provider Demographics
NPI:1164025110
Name:SUZANNA MEYER, LPC, PLLC
Entity Type:Organization
Organization Name:SUZANNA MEYER, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-508-3544
Mailing Address - Street 1:122 ARABIAN AVE N
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-3907
Mailing Address - Country:US
Mailing Address - Phone:512-508-3544
Mailing Address - Fax:866-258-2115
Practice Address - Street 1:925 LOOP 332
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-4912
Practice Address - Country:US
Practice Address - Phone:512-508-3544
Practice Address - Fax:866-258-2115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)