Provider Demographics
NPI:1518739945
Name:MEYER, NELLY PEARL (MA, LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:NELLY
Middle Name:PEARL
Last Name:MEYER
Suffix:
Gender:F
Credentials:MA, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 WESTOWN PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5936
Mailing Address - Country:US
Mailing Address - Phone:515-207-5091
Mailing Address - Fax:
Practice Address - Street 1:5000 WESTOWN PKWY STE 104
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5936
Practice Address - Country:US
Practice Address - Phone:515-207-5091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA122297101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional