# MERIBAH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871171959
- **Authorized official:** EILEEN TEYIM (CEO)
- **Authorized official phone:** (919) 332-8969

## Contact information

- **Practice address:** 1005 BROOKSIDE RD STE 240, ALLENTOWN, PA 18106-9023
- **Practice address phone:** (832) 443-8771
- **Mailing address:** 1005 BROOKSIDE RD STE 240, ALLENTOWN, PA 18106-9023
- **Mailing address phone:** (832) 443-8771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2021
- **Last updated:** 03/31/2021
