Provider Demographics
NPI:1598905895
Name:MERCURI, VINCENT H (LPC)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:H
Last Name:MERCURI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2054
Mailing Address - Country:US
Mailing Address - Phone:724-465-2605
Mailing Address - Fax:724-465-2610
Practice Address - Street 1:334 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2054
Practice Address - Country:US
Practice Address - Phone:724-465-2605
Practice Address - Fax:724-465-2610
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001129101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional