Provider Demographics
NPI:1992399182
Name:MERLI, REBECCA LANIER (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LANIER
Last Name:MERLI
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 EBENEZER RD STE 225
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1119
Mailing Address - Country:US
Mailing Address - Phone:803-329-9639
Mailing Address - Fax:803-329-5830
Practice Address - Street 1:1721 EBENEZER RD STE 225
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1119
Practice Address - Country:US
Practice Address - Phone:803-329-9639
Practice Address - Fax:803-329-5830
Is Sole Proprietor?:No
Enumeration Date:2021-02-27
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24640363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health