Provider Demographics
NPI:1518998400
Name:MERCIER, CHRISTINE KEHLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:KEHLE
Last Name:MERCIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 FALLING LEAF TRL
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-6216
Mailing Address - Country:US
Mailing Address - Phone:828-631-2800
Mailing Address - Fax:
Practice Address - Street 1:1131 FALLING LEAF TRL
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-6216
Practice Address - Country:US
Practice Address - Phone:828-631-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC003297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135RWOtherBLUECROSS/BLUESHIELD
NC6106289Medicaid
NC135RWOtherBLUECROSS/BLUESHIELD