Provider Demographics
NPI:1871901199
Name:TONI MYERS-BECK LCSW
Entity type:Organization
Organization Name:TONI MYERS-BECK LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MYERS-BECK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-687-5718
Mailing Address - Street 1:3663 CUNNINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-7046
Mailing Address - Country:US
Mailing Address - Phone:336-687-5718
Mailing Address - Fax:
Practice Address - Street 1:3663 CUNNINGHAM RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-7046
Practice Address - Country:US
Practice Address - Phone:336-687-5718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty