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NPI Code Detail

MEDICARE: MERIT BEHAVIORAL ASSOCIATES, INC

MEDICARE: MERIT BEHAVIORAL ASSOCIATES, INC
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
12084P0800XPsychiatry Physician
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist
3101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467485110
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIT BEHAVIORAL ASSOCIATES, INC
Provider Business Mailing Address
First Line : PO BOX 9150
Second Line :
City : PADUCAH
State : KY
Zip : 42002-9150
Country : US
Telephone Number : 270-251-3666
Fax Number : 270-251-3506
Provider Business Practice Location Address
First Line : 120 BRETT CHASE
Second Line :
City : PADUCAH
State : KY
Zip : 42003-5766
Country : US
Telephone Number : 270-251-3666
Fax Number : 270-251-3506
Authorized Official
Title or Position : LCSW
Name : MINA SMITH
Credential :
Telephone Number : 270-251-3666
Provider Enumeration Date : 07/08/2006
Last Update Date : 03/06/2026

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Directions to “MERIT BEHAVIORAL ASSOCIATES, INC ” Practice Location

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