Provider Demographics
NPI:1164644951
Name:MERRITT, BHAKTI (MFT)
Entity Type:Individual
Prefix:
First Name:BHAKTI
Middle Name:
Last Name:MERRITT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 BROADWAY ST STE 314
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-5345
Mailing Address - Country:US
Mailing Address - Phone:530-566-1098
Mailing Address - Fax:
Practice Address - Street 1:341 BROADWAY ST STE 314
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5345
Practice Address - Country:US
Practice Address - Phone:530-566-1098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37257106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist