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NPI Code Detail

MEDICARE: MERIT FAMILY SERVICES

MEDICARE: MERIT FAMILY SERVICES
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
1101YP2500XProfessional Counselor18630TX

General Provider Information

NPI Number : 1245445618
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIT FAMILY SERVICES
Provider Business Mailing Address
First Line : 3807 E LANCASTER AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-3522
Country : US
Telephone Number : 817-413-9463
Fax Number :
Provider Business Practice Location Address
First Line : 3807 E LANCASTER AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-3522
Country : US
Telephone Number : 817-413-9463
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CAROL JONES BLACKMON
Credential :
Telephone Number : 817-413-9463
Provider Enumeration Date : 05/11/2007
Last Update Date : 08/13/2007

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1992015242 — MR. DANIEL GEORGE MERCHANT LPC
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Directions to “MERIT FAMILY SERVICES ” Practice Location

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