Provider Demographics
NPI:1346628005
Name:MEHER, PHILIP A (LCMHC, LCPC)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:A
Last Name:MEHER
Suffix:
Gender:M
Credentials:LCMHC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1253
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03802-0128
Mailing Address - Country:US
Mailing Address - Phone:603-819-8679
Mailing Address - Fax:
Practice Address - Street 1:475 NORTH RD
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:ME
Practice Address - Zip Code:04263-3204
Practice Address - Country:US
Practice Address - Phone:603-819-8679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME5538101YM0800X
NH1072101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health