Provider Demographics
NPI:1235768771
Name:SMITH-MERRY COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:SMITH-MERRY COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SMITH-MERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:443-703-8888
Mailing Address - Street 1:665 MEHRING RD
Mailing Address - Street 2:
Mailing Address - City:LITTLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17340-9158
Mailing Address - Country:US
Mailing Address - Phone:717-549-2533
Mailing Address - Fax:717-549-2534
Practice Address - Street 1:23 BALTIMORE ST STE 102
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2306
Practice Address - Country:US
Practice Address - Phone:717-549-2533
Practice Address - Fax:717-549-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty