Provider Demographics
NPI:1811079429
Name:MERCER, PAULA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:L
Last Name:MERCER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:125 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6478
Mailing Address - Country:US
Mailing Address - Phone:501-624-7111
Mailing Address - Fax:501-620-5109
Practice Address - Street 1:125 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS NATIONAL PARK
Practice Address - State:AR
Practice Address - Zip Code:71913
Practice Address - Country:US
Practice Address - Phone:501-624-7111
Practice Address - Fax:501-620-5109
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR1500-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116399726Medicaid
AR71-0401764OtherCORPHEALTH
710401764OtherTRICARE
710401764OtherQUAL CHOICE
AR5A086OtherBLUE CROSS & BLUE SHIELD
AR710401764MEROtherUNITY MANAGED MENTAL HLTH
AR1070031OtherUSA MANAGED CARE
1811079429OtherVALUE OPTIONS
710401764OtherMHN
710401764OtherMAGELLAN
710401764OtherTRICARE