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NPI Code Detail

MEDICARE: COACH MERCER LLC

MEDICARE: COACH MERCER LLC
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
1101YM0800XMental Health Counselor
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1093661274
Entity Type Code : Organization
Provider Name (Legal Business Name) : COACH MERCER LLC
Provider Business Mailing Address
First Line : 5211 RUE DELA CROIX DR
Second Line :
City : KATY
State : TX
Zip : 77493-3237
Country : US
Telephone Number : 713-476-2010
Fax Number : 713-476-2010
Provider Business Practice Location Address
First Line : 5211 RUE DELA CROIX DR
Second Line :
City : KATY
State : TX
Zip : 77493-3237
Country : US
Telephone Number : 713-476-2010
Fax Number : 713-476-2010
Authorized Official
Title or Position : CEO
Name : MR. CHRISTOPHER GEORGE MERCER SR.
Credential : QMHP
Telephone Number : 713-476-2010
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/10/2026

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Directions to “COACH MERCER LLC ” Practice Location

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