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MERRI CRITTLE NPI 1356017990


NPI Information

NPI: 1356017990
Provider Name: MERRI CRITTLE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
50 N LAURA ST STE 2500
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 966-9417
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Merri Crittle is a mental health counselor in Jacksonville, FL. Merri Crittle NPI is 1356017990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

50 N LAURA ST STE 2500
JACKSONVILLE, FL
ZIP 32202-646
Phone: (904) 966-9417
Fax: (904) 341-5505

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementLIC-1047665FLORIDANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LIC-1047667FLORIDANo
3101YM0800XCounselorMental HealthLIC-1047667FLORIDAYes
4405300000XPrevention ProfessionalLIC-1047664FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LIC-1047667MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.