Provider Demographics
NPI:1740918010
Name:MEYER, CHRISTOPHER TRAVIS (MS, LPC, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TRAVIS
Last Name:MEYER
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 ACCRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3884
Mailing Address - Country:US
Mailing Address - Phone:910-964-4808
Mailing Address - Fax:
Practice Address - Street 1:3906 ACCRINGTON CT
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3884
Practice Address - Country:US
Practice Address - Phone:910-964-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YP2500X, 103TC1900X
TX85464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty