Healthcare Provider Details
I. General information
NPI: 1356896021
Provider Name (Legal Business Name): M.E.R. COUNSELING & ASSESSMENTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2016
Last Update Date: 05/13/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2451 W. GRAPEVINE MILLS CIR. STE 312
GRAPEVINE TX
76051
US
IV. Provider business mailing address
2451 W. GRAPEVINE MILLS CIR. STE 312
GRAPEVINE TX
76051
US
V. Phone/Fax
- Phone: 817-846-7537
- Fax:
- Phone: 817-846-7537
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 68088 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 11679 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
MERI
E
RULE
Title or Position: SOLE PROPRIETOR
Credential: LPC
Phone: 817-846-7537