DANIELLA M MERZLOCK LPC
NPI 1194092486
Counselor - Professional in Chubbuck, ID
Active since November 30, 2011
About Daniella M Merzlock Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLA M MERZLOCK LPC (NPI 1194092486) is an individual professional provider in Chubbuck, Idaho, licensed in Idaho (LPC-4867) and active in the NPI registry since November 2011.
NPPES Registry Identity
NPI1194092486
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDANIELLA M MERZLOCKCredential: LPC
Location Address4460 CENTRAL WAY, STE 2Chubbuck, ID 83202
Mailing AddressPo Box 4908Pocatello, ID 83205-4908 · (208) 237-1711
Phone(208) 237-1711
Sole ProprietorNo
Enumeration DateNovember 30, 2011
✔ NPI 1194092486 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LPC-4867
4460 CENTRAL WAY, Chubbuck, ID 83202
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
4460 CENTRAL WAY, STE 3
CHUBBUCK, ID 83202
CHUBBUCK, ID 83202
Psychiatry & Neurology (Psychiatry)
4460 CENTRAL WAY, SUITE 3
CHUBBUCK, ID 83202
CHUBBUCK, ID 83202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194092486, enumerated as an "individual" on November 30, 2011.
The provider is located at 4460 CENTRAL WAY STE 2 CHUBBUCK, ID 83202 and the phone number is (208) 237-1711.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
