Provider Demographics
NPI:1770084501
Name:MERSINGER, STEVEN JAMES JR (MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:JAMES
Last Name:MERSINGER
Suffix:JR
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 TAMIAMI TRL S STE 284
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-2441
Mailing Address - Country:US
Mailing Address - Phone:941-840-8541
Mailing Address - Fax:
Practice Address - Street 1:333 TAMIAMI TRL S STE 284
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2441
Practice Address - Country:US
Practice Address - Phone:941-840-8541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3782106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty