Provider Demographics
NPI:1326893652
Name:THE MERISMOS CENTER, PLLC
Entity Type:Organization
Organization Name:THE MERISMOS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HACKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:866-475-1546
Mailing Address - Street 1:388 EXCHANGE BLVD UNIT 1285
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-8054
Mailing Address - Country:US
Mailing Address - Phone:866-475-1546
Mailing Address - Fax:
Practice Address - Street 1:388 EXCHANGE BLVD UNIT 1285
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-8054
Practice Address - Country:US
Practice Address - Phone:866-475-1546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty