Provider Demographics
NPI:1932467552
Name:MERCURY CONSULTING LLC
Entity Type:Organization
Organization Name:MERCURY CONSULTING LLC
Other - Org Name:MERCURY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIMEH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-247-8023
Mailing Address - Street 1:28165 FORESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-247-8023
Mailing Address - Fax:
Practice Address - Street 1:28165 FORESTBROOK DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-5210
Practice Address - Country:US
Practice Address - Phone:248-247-8023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty