Provider Demographics
NPI:1760421366
Name:MYERS, JANELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANELL
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7861 LA SOBRINA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-3138
Mailing Address - Country:US
Mailing Address - Phone:972-991-4869
Mailing Address - Fax:214-221-0018
Practice Address - Street 1:7475 SKILLMAN ST
Practice Address - Street 2:106A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8314
Practice Address - Country:US
Practice Address - Phone:214-221-2121
Practice Address - Fax:214-221-0018
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2092101YA0400X
TX10798101YP2500X
TX767106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist