Provider Demographics
NPI:1235484486
Name:MYERS, ERIA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ERIA
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MINDSIGHTOLOGY
Other - Middle Name:
Other - Last Name:THERAPY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:481 VIA PALERMO DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-0825
Mailing Address - Country:US
Mailing Address - Phone:714-922-0546
Mailing Address - Fax:657-333-9517
Practice Address - Street 1:481 VIA PALERMO DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-0825
Practice Address - Country:US
Practice Address - Phone:714-922-0546
Practice Address - Fax:657-333-9517
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93690106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health