Provider Information for 1265737449
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. LAVERNE MERRITT-MORRISON LMHC, CASAC
Sex: Female
NPI: 1265737449
Last Updated: 2014-08-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1265737449 | ||||||||||||
| Enumeration Date | 2011-01-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 201 W 147TH ST APT. 4D NEW YORK, NY 10039-3445 United States Phone: 212-694-7279 | Fax: | ||||||||||||
| Primary Practice Address | 2976 NORTHERN BLVD LONG ISLAND CITY, NY 11101-2822 United States Phone: 212-691-7554 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|