Individual
WYTISHA MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4930
(985) 377-6983
Mailing address
44412 S AIRPORT RD, HAMMOND, LA 70403-0310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/08/2016
Last updated
02/27/2024
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