Provider Demographics
NPI:1275856502
Name:MEIER, DEBBIE KAY (MC, LISAC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:KAY
Last Name:MEIER
Suffix:
Gender:F
Credentials:MC, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13820 N 51ST AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4842
Mailing Address - Country:US
Mailing Address - Phone:623-398-8904
Mailing Address - Fax:
Practice Address - Street 1:13820 N 51ST AVE STE 100
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4842
Practice Address - Country:US
Practice Address - Phone:623-398-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-10498101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)