Provider Demographics
NPI:1851663520
Name:WENDY M. MERCER, MENTAL HEALTH COUNSELING, NCC, P.C.
Entity Type:Organization
Organization Name:WENDY M. MERCER, MENTAL HEALTH COUNSELING, NCC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:631-872-5451
Mailing Address - Street 1:1223 MONTAUK HWY STE B
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1491
Mailing Address - Country:US
Mailing Address - Phone:631-872-5451
Mailing Address - Fax:631-319-1488
Practice Address - Street 1:1223 MONTAUK HWY STE B
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1491
Practice Address - Country:US
Practice Address - Phone:631-872-5451
Practice Address - Fax:631-319-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004687-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty