Provider Demographics
NPI:1124849989
Name:MERGE HEALTH FITNESS AND NUTRITION, INC.
Entity type:Organization
Organization Name:MERGE HEALTH FITNESS AND NUTRITION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:KLEIN
Authorized Official - Last Name:TOUPS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-298-2823
Mailing Address - Street 1:840 KENNESAW AVE NW STE 1
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7928
Mailing Address - Country:US
Mailing Address - Phone:770-298-2823
Mailing Address - Fax:
Practice Address - Street 1:840 KENNESAW AVE NW STE 1
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7928
Practice Address - Country:US
Practice Address - Phone:770-298-2823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health