Provider Demographics
NPI:1417711318
Name:MERCIER, STEPHEN AARON
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:AARON
Last Name:MERCIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 OX CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9763
Mailing Address - Country:US
Mailing Address - Phone:678-953-7809
Mailing Address - Fax:
Practice Address - Street 1:259 OX CREEK RD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-9763
Practice Address - Country:US
Practice Address - Phone:678-953-7809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0201931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical