Provider Demographics
NPI:1659615961
Name:MERIJANIAN, HEIG ASHOT (BA)
Entity Type:Individual
Prefix:MR
First Name:HEIG
Middle Name:ASHOT
Last Name:MERIJANIAN
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12080 MOUNTAIN LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-1220
Mailing Address - Country:US
Mailing Address - Phone:720-309-5309
Mailing Address - Fax:
Practice Address - Street 1:12080 MOUNTAIN LAUREL DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-1220
Practice Address - Country:US
Practice Address - Phone:720-309-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health