Individual
MERRIK LAINE HETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 N MOPAC EXPY BLDG 4, AUSTIN, TX 78759-8837
(512) 672-9357
Mailing address
2311 FAIRHILL CV, CEDAR PARK, TX 78613-1735
(512) 672-9357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
85378
TX
Other
Enumeration date
02/26/2021
Last updated
10/03/2025
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