Crittle, Merri
Crittle, Merri is an sole proprietor health care provider with primary practice located at 630 W Adams St Ste 403 , Jacksonville FL 32204-1645. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Crittle, Merri can be contacted via phone (904) 966-9417.Contact Information
Primary practice address
630 W Adams St Ste 403
Jacksonville FL 32204-1645
Phone: (904) 966-9417
Fax: (904) 341-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LIC-1047667 | Florida |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Florida | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Florida | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Florida |
Profile Details
| NPI number | 1356017990 |
|---|---|
| LBN Legal business name | Crittle, Merri |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2021 |
| Last updated | Apr 11th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356017990 | NPPES |
| Florida | MEDICAID | LIC-1047667 |
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