Basic Information
| Provider Information | |||||||||
| NPI: | 1932486339 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEIERS | ||||||||
| FirstName: | BRITNEY | ||||||||
| MiddleName: | NICOLE | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1635 W. 3RD AVE | ||||||||
| Address2: | |||||||||
| City: | DURANGO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 813018130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9709464088 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 765 E COLLEGE DR | ||||||||
| Address2: | |||||||||
| City: | DURANGO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 813015547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9709038018 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2011 | ||||||||
| LastUpdateDate: | 10/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 09924840 | CO | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | CSW.09924840 | CO | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.