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General NPI Number Information
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NPI Number | 1932083771
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Entity Type | Organization
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Legal Business Name | MERRITT MENTAL HEALTH
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 217 E DICKSON ST STE 101
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-4629
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Country | US
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Telephone | 479-439-3638
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 171
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City | FAYETTEVILLE
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State | AR
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Zip | 72702-0171
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Country | US
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Telephone | 479-747-9571
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY BROOKE MERRITT
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Credential | DNP APRN
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Telephone | 479-747-9571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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