Provider Demographics
NPI:1215503651
Name:MERCED, EUNICE (EDD, MFT, LPC)
Entity type:Individual
Prefix:DR
First Name:EUNICE
Middle Name:
Last Name:MERCED
Suffix:
Gender:F
Credentials:EDD, MFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 105
Mailing Address - Street 2:PARQUE FLAMINGO CALLE EUPHRATES
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-902-7013
Mailing Address - Fax:787-545-6778
Practice Address - Street 1:UNIT 105
Practice Address - Street 2:PARQUE FLAMINGO CALLE EUPHRATES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-902-7013
Practice Address - Fax:787-545-6778
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty