Provider Demographics
NPI:1881861995
Name:MERCER, GAIL L (LMHC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:L
Last Name:MERCER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-1744
Mailing Address - Country:US
Mailing Address - Phone:317-781-0447
Mailing Address - Fax:317-781-0465
Practice Address - Street 1:5218 S EAST ST
Practice Address - Street 2:SUITE E-4
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1900
Practice Address - Country:US
Practice Address - Phone:317-781-0447
Practice Address - Fax:317-781-0465
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001983A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health