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NPI Code Detail

MEDICARE: FAITH NICHOLE MERRIWEATHER MS, LPC, NCC

MEDICARE: FAITH NICHOLE MERRIWEATHER MS, LPC, NCC
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 CounselorLPC015345GA

General Provider Information

NPI Number : 1558858134
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH NICHOLE MERRIWEATHER MS, LPC, NCC
Provider Business Mailing Address
First Line : 738 WOODLAWN DR NE
Second Line :
City : MARIETTA
State : GA
Zip : 30068-4253
Country : US
Telephone Number : 943-243-6781
Fax Number :
Provider Business Practice Location Address
First Line : 738 WOODLAWN DR NE
Second Line :
City : MARIETTA
State : GA
Zip : 30068-4253
Country : US
Telephone Number : 770-726-9589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 02/27/2025

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