Mr Brian Thomas Merrick, LPCC | |
7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | |
(952) 997-3020 | |
(952) 997-3026 |
Full Name | Mr Brian Thomas Merrick |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 7300 147th St W Ste 204, Apple Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740443514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 001043 (Iowa) | Secondary |
101YM0800X | Counselor - Mental Health | 03130 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Thomas Merrick, LPCC 15464 Galaxie Ave Apt 206, Apple Valley, MN 55124-3161 Ph: (641) 990-7964 | Mr Brian Thomas Merrick, LPCC 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 Ph: (952) 997-3020 |
Richard Dauer, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6470 129th St W, Apple Valley, MN 55124 Phone: 651-402-9564 | |
Lindsey K Reichert, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W, Suite 204, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Noah Stoltzman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 600, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Ms. Kristin Marie Baker, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 600, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Heather Hislop-anderson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 952-997-3020 | |
Brittany M Schug, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 | |
Alex Stolis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 952-997-3020 Fax: 952-997-3026 |