Individual
KELLY E MERECICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1518
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5589
TN
101YP2500X
Professional Counselor
E.2102225
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
OH
Enumeration date
01/09/2018
Last updated
03/29/2022
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