MEDICARE: HEATHER MERRITT MS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558172742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MERRITT MS

Provider Business Mailing Address
First Line	:	377 LAWNVIEW DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-2128
Country	:	US
Telephone Number	:	310-733-7694
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 SCOTT AVE STE 401
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26508-8857
Country	:	US
Telephone Number	:	304-292-1716
Fax Number	:

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

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	01/16/2025

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Directions to “ HEATHER MERRITT MS” Practice Location

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