| Doctor Name: | MR. BRENT ANDREW MEYER |
| NPI Number: | 1013169697 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | SW 8977 |
| Business Practice Address: | 2140 Crawfordville Hwy Suite B Crawfordville, FL - 323271009 |
| Business Phone Number: | 8509261900 |
| Business Fax Number: | 8509261930 |
| Mailing Address: | 2140 Crawfordville Hwy, Suite B CRAWFORDVILLE |
| State: | FL |
| Postal Code: | 323271009 |
| Phone Number: | 8509261900 |
| Fax Number: | 8509261930 |
| NPI Enumeration Date: | 10/15/2008 |
| NPI Last Update Date: | 04/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 8977 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |