Provider Demographics
NPI:1801411087
Name:MEYER, LEAH (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GOLD LEAF PL
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3848
Mailing Address - Country:US
Mailing Address - Phone:281-818-1272
Mailing Address - Fax:
Practice Address - Street 1:1 CRIMINAL JUSTICE DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1491
Practice Address - Country:US
Practice Address - Phone:936-760-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2022-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141595363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health