Provider Demographics
NPI:1891816872
Name:MYERS, WILLIAM S (MS ED, LPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:MYERS
Suffix:
Gender:M
Credentials:MS ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-3699
Mailing Address - Country:US
Mailing Address - Phone:815-626-8760
Mailing Address - Fax:815-626-8066
Practice Address - Street 1:402 2ND AVE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-3699
Practice Address - Country:US
Practice Address - Phone:815-626-8760
Practice Address - Fax:815-626-8066
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional