Provider Demographics
NPI:1649089236
Name:MERICE, ABIGAIL ANN
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANN
Last Name:MERICE
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 1:1985 RED RUN DR
Mailing Address - Street 2:
Mailing Address - City:DORR
Mailing Address - State:MI
Mailing Address - Zip Code:49323-9444
Mailing Address - Country:US
Mailing Address - Phone:616-881-6272
Mailing Address - Fax:
Practice Address - Street 1:1985 RED RUN DR
Practice Address - Street 2:
Practice Address - City:DORR
Practice Address - State:MI
Practice Address - Zip Code:49323-9444
Practice Address - Country:US
Practice Address - Phone:616-881-6272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician