Provider Demographics
NPI:1942884069
Name:MERRIMAN COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:MERRIMAN COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MERRIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-671-7980
Mailing Address - Street 1:55 ROUTE 7 N
Mailing Address - Street 2:
Mailing Address - City:FALLS VILLAGE
Mailing Address - State:CT
Mailing Address - Zip Code:06031-1305
Mailing Address - Country:US
Mailing Address - Phone:860-671-7980
Mailing Address - Fax:
Practice Address - Street 1:55 ROUTE 7 N
Practice Address - Street 2:
Practice Address - City:FALLS VILLAGE
Practice Address - State:CT
Practice Address - Zip Code:06031-1305
Practice Address - Country:US
Practice Address - Phone:860-671-7980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health