Provider Demographics
NPI:1992199103
Name:JAMES MEYER
Entity Type:Organization
Organization Name:JAMES MEYER
Other - Org Name:LIONS HEART COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:916-494-9218
Mailing Address - Street 1:25 CADILLAC DR
Mailing Address - Street 2:STE #132
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-8349
Mailing Address - Country:US
Mailing Address - Phone:916-494-9218
Mailing Address - Fax:916-282-1698
Practice Address - Street 1:25 CADILLAC DR
Practice Address - Street 2:STE #132
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-8349
Practice Address - Country:US
Practice Address - Phone:916-494-9218
Practice Address - Fax:916-282-1698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW62672104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty