Doctor Name: | MRS. AMIE LYNN MERZ |
NPI Number: | 1114091774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1957 |
Business Practice Address: | 660 N Creek Dr Festus, MO - 630282632 |
Business Phone Number: | 6369377727 |
Business Fax Number: | 6369317553 |
Mailing Address: | Po Box 365, FESTUS |
State: | MO |
Postal Code: | 630280365 |
Phone Number: | 6369377727 |
Fax Number: | 6369317553 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1957 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |