MEDICARE: BERMUDA RUN COUNSELING, PLLC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1912894080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERMUDA RUN COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	222 BROADMOOR DR
Second Line	:
City	:	ADVANCE
State	:	NC
Zip	:	27006-6957
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 YORK WAY
Second Line	:
City	:	ADVANCE
State	:	NC
Zip	:	27006-7666
Country	:	US
Telephone Number	:	336-270-9339
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	BRITTANY MERZ
Credential	:
Telephone Number	:	336-407-4636

Provider Enumeration Date	:	06/21/2025
Last Update Date	:	06/21/2025

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