Michelle Marie Merritt, | |
3844 Oakhills Dr, Bloomfield, MI 48301-3232 | |
(249) 759-0500 | |
Not Available |
Full Name | Michelle Marie Merritt |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3844 Oakhills Dr, Bloomfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306173943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401011721 (Michigan) | Primary |
Entity Name | Mental Health Specialty Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240926001070 |
Mailing Address | Practice Location Address |
---|---|
Michelle Marie Merritt, 312 Fallen Oak Dr, Columbia, SC 29229-8934 Ph: (248) 759-0500 | Michelle Marie Merritt, 3844 Oakhills Dr, Bloomfield, MI 48301-3232 Ph: (249) 759-0500 |
Kathleen Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3769 Quarton Rd, Bloomfield, MI 48302 Phone: 810-232-2766 Fax: 810-232-2782 | |
Kertrina Gordon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 S Telegraph Rd, Bloomfield, MI 48302 Phone: 248-456-8150 Fax: 248-292-1010 | |
Ms. Megan Mirza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Billingsgate Ct, Bloomfield, MI 48301 Phone: 248-882-0080 | |
Lorraine Fertuck, Counselor Medicare: Medicare Enrolled Practice Location: 572 S Cranbrook Cross Rd, Bloomfield, MI 48301 Phone: 248-882-3860 |