| Merit Behavioral Associates, Inc | |
|
224 North 7th Street Mayfield KY 42066 | |
| (270) 251-3666 | |
| (270) 251-3506 |
| Full Name | Merit Behavioral Associates, Inc |
|---|---|
| Speciality | Counselor |
| Location | 224 North 7th Street, Mayfield, Kentucky |
| Authorized Official Name and Position | Mina Smith (ADMININSTRATOR) |
| Authorized Official Contact | 2702513666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merit Behavioral Associates, Inc 224 North 7th Street Box 484 Mayfield KY 42066-2223 Ph: (270) 251-3666 | Merit Behavioral Associates, Inc 224 North 7th Street Mayfield KY 42066 Ph: (270) 251-3666 |
| NPI Number | 1467485110 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Medicare PECOS PAC ID | 6608773544 |
|---|---|
| Medicare Enrollment ID | O20031217001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467485110 | NPI | - | NPPES |
| 6590686 | Medicaid | KY |
| Provider Name | Rolanda S Peek-fisk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669400065 PECOS PAC ID: 0547397457 Enrollment ID: I20100426000328 |
| Provider Name | Mina B Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942244959 PECOS PAC ID: 8325175243 Enrollment ID: I20100426000381 |
| Provider Name | Camille E. House |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477616209 PECOS PAC ID: 9739532623 Enrollment ID: I20240126002301 |
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