Provider Demographics
NPI:1043698285
Name:LABECK, MERIEL SAGE (NCC, LPCMH)
Entity Type:Individual
Prefix:
First Name:MERIEL
Middle Name:SAGE
Last Name:LABECK
Suffix:
Gender:F
Credentials:NCC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5189 W WOODMILL DR
Mailing Address - Street 2:SUITE 30A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4009
Mailing Address - Country:US
Mailing Address - Phone:302-633-6001
Mailing Address - Fax:302-295-6289
Practice Address - Street 1:5189 W WOODMILL DR
Practice Address - Street 2:SUITE 30A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4009
Practice Address - Country:US
Practice Address - Phone:302-633-6001
Practice Address - Fax:302-295-6289
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional