<Unavail>
LBN: Edward Merkle
<Unavail> is an health care organization with primary practice located at 4770 S Ridgewood Ave , Port Orange FL 32127-4544. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Edward Merkle can be contacted via phone (386) 416-9767, or through Merkle, Edward via phone (386) 416-9767.
Contact Information
Primary practice address
4770 S Ridgewood Ave
Port Orange FL 32127-4544
Phone: (386) 416-9767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1871059030 |
|---|---|
| LBN Legal business name | Edward Merkle |
| DBA Doing business as | <Unavail> |
| Authorized official | Merkle, Edward LMHC |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 13th, 2019 |
| Last updated | Jan 22nd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871059030 | NPPES |
| Florida | MEDICAID | 1295077212 |
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