Provider Demographics
NPI:1386219731
Name:MCCARTY, MERCY
Entity Type:Individual
Prefix:
First Name:MERCY
Middle Name:
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8811 WEST LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-5908
Mailing Address - Country:US
Mailing Address - Phone:936-206-5158
Mailing Address - Fax:346-229-1675
Practice Address - Street 1:8811 WEST LN
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-5908
Practice Address - Country:US
Practice Address - Phone:936-206-5158
Practice Address - Fax:346-229-1675
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician