Provider Demographics
NPI:1891970596
Name:MERCADO, MARIA DEL PILAR (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DEL PILAR
Last Name:MERCADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 EUSTIS AVE SE STE E
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4275
Mailing Address - Country:US
Mailing Address - Phone:571-439-5039
Mailing Address - Fax:
Practice Address - Street 1:207 EUSTIS AVE SE STE E
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4275
Practice Address - Country:US
Practice Address - Phone:571-439-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-01
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA6205781101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA26-1680028OtherTAX ID NUMBER