Provider Demographics
NPI:1710520069
Name:MYERS AND MYERS MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:MYERS AND MYERS MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WANSTALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-689-3874
Mailing Address - Street 1:260 CHAPMAN RD STE 201D
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5491
Mailing Address - Country:US
Mailing Address - Phone:302-689-3874
Mailing Address - Fax:
Practice Address - Street 1:260 CHAPMAN RD STE 201D
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5491
Practice Address - Country:US
Practice Address - Phone:302-689-3874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty