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NPI Code Detail

MEDICARE: MERITA ELMAZI LPC

MEDICARE: MERITA ELMAZI LPC
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
1101YP2500XProfessional Counselor71883TX

General Provider Information

NPI Number : 1104369628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERITA ELMAZI LPC
Provider Business Mailing Address
First Line : 1527 HEMPHILL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4706
Country : US
Telephone Number : 817-569-5900
Fax Number : 817-569-5998
Provider Business Practice Location Address
First Line : 1527 HEMPHILL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4706
Country : US
Telephone Number : 817-569-5900
Fax Number : 817-569-5998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2016
Last Update Date : 02/04/2026

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Directions to “ MERITA ELMAZI LPC” Practice Location

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