Healthcare Provider Details

I. General information

NPI: 1174930234
Provider Name (Legal Business Name): HEATHER MERRILL LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER L MYERS LCMHC

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 OLD DOVER ROAD
ROCHESTER NH
03867-3490
US

IV. Provider business mailing address

113 CROSBY ROAD SUITE 1
DOVER NH
03820-4370
US

V. Phone/Fax

Practice location:
  • Phone: 603-516-9300
  • Fax: 603-335-9278
Mailing address:
  • Phone: 603-516-9300
  • Fax: 603-740-9179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1190
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: