Provider Demographics
NPI:1649485681
Name:MERHEMIC, AIDA EMIRA (LPC)
Entity type:Individual
Prefix:
First Name:AIDA
Middle Name:EMIRA
Last Name:MERHEMIC
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 XENIA AVE
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-1874
Mailing Address - Country:US
Mailing Address - Phone:937-767-7044
Mailing Address - Fax:937-767-5066
Practice Address - Street 1:213 XENIA AVE
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1874
Practice Address - Country:US
Practice Address - Phone:937-767-7044
Practice Address - Fax:937-767-5066
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC5630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health