Provider Demographics
NPI:1184169278
Name:MERRIWEATHER CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:MERRIWEATHER CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARKER MERRIWEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:205-529-2555
Mailing Address - Street 1:95 MELISON DR
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-2550
Mailing Address - Country:US
Mailing Address - Phone:205-529-2555
Mailing Address - Fax:
Practice Address - Street 1:95 MELISON DR
Practice Address - Street 2:
Practice Address - City:PIKE ROAD
Practice Address - State:AL
Practice Address - Zip Code:36064-2550
Practice Address - Country:US
Practice Address - Phone:205-529-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3269251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health