Provider Demographics
NPI:1114305869
Name:MERTENS, BRADY AUSTIN (MA LPCC C-DBT)
Entity Type:Individual
Prefix:
First Name:BRADY
Middle Name:AUSTIN
Last Name:MERTENS
Suffix:
Gender:M
Credentials:MA LPCC C-DBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3779 TRUEMAN CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2496
Mailing Address - Country:US
Mailing Address - Phone:614-362-5242
Mailing Address - Fax:614-319-7552
Practice Address - Street 1:3779 TRUEMAN CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2496
Practice Address - Country:US
Practice Address - Phone:614-362-5242
Practice Address - Fax:614-319-7552
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1800934-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health