Provider Demographics
NPI:1942842711
Name:MERRITT, JOMIKA F
Entity Type:Individual
Prefix:MRS
First Name:JOMIKA
Middle Name:F
Last Name:MERRITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MISTY MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-7533
Mailing Address - Country:US
Mailing Address - Phone:817-716-6181
Mailing Address - Fax:
Practice Address - Street 1:601 MISTY MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-7533
Practice Address - Country:US
Practice Address - Phone:817-716-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker