Darla Jean Merola, LCDC III
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gallipolis, OH
NPI 1477062040 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1477062040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 121017 (OH)
- Practice address
- 499 Jackson Pike
Gallipolis, OH 45631-1398 - Phone
- (740) 446-6471
- Fax
- (740) 441-2970
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121017 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tasc of Southeast Ohio | Past |
Accepting new patients | |
| Tasc of Southeast Ohio, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 121017 | OH | Yes |
Addresses
Primary practice location
499 Jackson Pike
Gallipolis, OH 45631-1398
Mailing address
PO Box 88
Gallipolis, OH 45631-0088
Phone (740) 446-6471
Other providers in Gallipolis, OH
- Medical Service Options Inc
- Medical Shoppe Inc
- Pamela S Meek
- Shailen K. Mehta
- Richard J. Mendieta
- Rebecca Dawn Merrill
- Robert A Merrill
- Andrea Danielle Merry-Sperry
- Samantha Jo Merry
- Brenda Jo Mershon
All providers in Gallipolis, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.