Provider Demographics
NPI:1972735678
Name:MERRIWEATHER, MONEE NOEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MONEE
Middle Name:NOEL
Last Name:MERRIWEATHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 874
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-0016
Mailing Address - Country:US
Mailing Address - Phone:678-665-2562
Mailing Address - Fax:866-269-4084
Practice Address - Street 1:1509 ATKINSON RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-7986
Practice Address - Country:US
Practice Address - Phone:678-665-2562
Practice Address - Fax:866-269-4084
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC13057101YM0800X
GALPC004470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health