BETHANY CECELIA MERRETT


Address: 223 Kathryn Ave, Decatur, GA 30030-5017
Phone: 7708561232

BETHANY CECELIA MERRETT (NPI# 1164040713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164040713
Entity Type Individual
Full Name BETHANY CECELIA MERRETT
Credential MS, LPC, NCC
Practice Address 223 Kathryn Ave
Decatur
GA 30030-5017
Mailing Address Po Box 1428
Decatur
GA 30031-1428
Practice Telephone 7708561232
Mailing Telephone 7708561232
Enumeration Date 2020-07-09
Last Update Date 2020-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC011313 GA Behavioral Health & Social Service Providers

Office Location

Street Address 223 KATHRYN AVE
City DECATUR
State GA
Zip Code 30030-5017

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1821619842 Knitikia Gross Counselor 436 Eastwyck Cir, Decatur, GA 30032-6694 2020-04-30
1063033074 Marcy Renee Jefferson-watkins Counselor 2126 6th Ave Se Ste 208, Decatur, AL 35601-6547 2020-04-30
1790304004 Tonia D Morris Counselor 3006 Western Sunset Ct, Decatur, GA 30034-1692 2020-04-16
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Competitor

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City DECATUR
Zip Code 30030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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