Provider Demographics
NPI:1790903235
Name:MEYER, CHRISTY J (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:J
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:J
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:1063 14TH PLACE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314
Mailing Address - Country:US
Mailing Address - Phone:515-235-5224
Mailing Address - Fax:866-672-0706
Practice Address - Street 1:1063 14TH PLACE
Practice Address - Street 2:SUITE A
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314
Practice Address - Country:US
Practice Address - Phone:515-235-5224
Practice Address - Fax:866-672-0706
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2423101YM0800X
IA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025444400Medicaid