MR. ELMER GEORGE MYRON LBSW, LISAC
NPI 1710197843
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Q: What is Elmer Myron's NPI number?

The NPI number for Elmer Myron is 1710197843. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Elmer Myron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Elmer Myron was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2007

4041 N. CENTRAL AVE, BUILDING C, PHOENIX, AZ 85012(602) 279-5262(602) 279-5393 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Elmer George Myron Lbsw, Lisac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELMER GEORGE MYRON LBSW, LISAC (NPI 1710197843) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (11597) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1710197843

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. ELMER GEORGE MYRONCredential: LBSW, LISAC

Location Address4041 N. CENTRAL AVE, BUILDING CPhoenix, AZ 85012-3133

Mailing Address4011 W Columbine DrPhoenix, AZ 85029-2970 · (602) 481-6717 · Fax (602) 279-5393

Phone(602) 279-5262

Fax(602) 279-5393

Sole ProprietorYes

Enumeration DateMay 24, 2007

Last NPPES UpdateAugust 29, 2014

✔ NPI 1710197843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · 11597

Also ListedSocial WorkerTaxonomy 104100000X · License 4125 (AZ)

4041 N. CENTRAL AVE, Phoenix, AZ 85012

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Other Identifiers 1

Medicaid910209AZ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROY ALAN JOHNSTON L.I.S.A.C

Counselor (Addiction (Substance Use Disorder))

4041 N. CENTRAL AVE, BUILDING C
PHOENIX, AZ 85012

Maricopa County (602) 279-5262

MR. ROBERT W HOLTSOI LAC

Counselor

4041 N. CENTRAL AVE, BUILDING C
PHOENIX, AZ 85012

Maricopa County (602) 279-5262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elmer Myron's NPI number?

The NPI number for Elmer Myron is 1710197843. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Elmer Myron located?

Elmer Myron practices at 4041 N. Central Ave Building C, Phoenix, AZ 85012. The listed phone number is (602) 279-5262.

What is Elmer Myron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Elmer Myron was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.