Anita Merrill, LMHC

Individual provider Active NPI Mental Health Counselor · Alexandria Bay, NY

NPI 1770095697 · NPPES record last updated Feb 12, 2024

Key facts

NPI
1770095697
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
009737-01 (NY)
Practice address
4 Fuller St
Alexandria Bay, NY 13607-1316
Phone
(315) 482-1214
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
009737-01NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009737-01 NY Yes

Addresses

Primary practice location

4 Fuller St
Alexandria Bay, NY 13607-1316

Mailing address

301 County Route 4
Ogdensburg, NY 13669-5334
Phone (315) 212-1651

Other providers in Alexandria Bay, NY

All providers in Alexandria Bay, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.