MEDICARE: MADISON SHAY MERINSKY

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	6451024694	MI

General Provider Information

NPI Number	:	1932058112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON SHAY MERINSKY

Provider Business Mailing Address
First Line	:	530 CRAPO ST APT 1
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-1978
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 CRAPO ST APT 1
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-1978
Country	:	US
Telephone Number	:	810-618-1281
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ MADISON SHAY MERINSKY ” Practice Location

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