Provider Demographics
NPI:1891159836
Name:MERCED, LUIS
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:
Last Name:MERCED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15930 3RD PL SW APT A
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3041
Mailing Address - Country:US
Mailing Address - Phone:425-406-7265
Mailing Address - Fax:
Practice Address - Street 1:15930 3RD PL SW APT A
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3041
Practice Address - Country:US
Practice Address - Phone:425-406-7265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor