Healthcare Provider Details

I. General information

NPI: 1922965441
Provider Name (Legal Business Name): BRENDA JEAN MERRICK LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 PENNSYLVANIA AVE STE 3
IRWIN PA
15642-2715
US

IV. Provider business mailing address

718 MAPLEWOOD AVE
AMBRIDGE PA
15003-2416
US

V. Phone/Fax

Practice location:
  • Phone: 724-863-7223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC001990
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: