MEDICARE: MEREDITH MERCHANT LMFT, MSMFT, M.ED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1225769284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH MERCHANT LMFT, MSMFT, M.ED

Provider Business Mailing Address
First Line	:	2121 WOODBROOK ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-8253
Country	:	US
Telephone Number	:	201-669-0109
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 WOODBROOK ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-8253
Country	:	US
Telephone Number	:	201-669-0109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	04/17/2026

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