Provider Demographics
NPI:1588455737
Name:MYERS, QUA'MERON NASR
Entity type:Individual
Prefix:
First Name:QUA'MERON
Middle Name:NASR
Last Name:MYERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 EDGEWOOD AVE NE APT 615B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3027
Mailing Address - Country:US
Mailing Address - Phone:601-951-5079
Mailing Address - Fax:601-951-5079
Practice Address - Street 1:931 MONROE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1793
Practice Address - Country:US
Practice Address - Phone:404-775-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health