Provider Demographics
NPI:1285214825
Name:MYERSSQUARED, LLC
Entity Type:Organization
Organization Name:MYERSSQUARED, LLC
Other - Org Name:MYERS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-743-1304
Mailing Address - Street 1:8915 S KEYSTONE AVE STE F
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-6206
Mailing Address - Country:US
Mailing Address - Phone:317-514-2440
Mailing Address - Fax:317-742-9755
Practice Address - Street 1:8915 S KEYSTONE AVE STE F
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-6206
Practice Address - Country:US
Practice Address - Phone:317-743-1304
Practice Address - Fax:317-742-9755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty