Organization
BLUE CREEK PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MERRYMAN LCSW (CO-OWNER)
(484) 433-2025
Entity
Organization
Contact information
Practice address
900 HERITAGE DR STE 910, POTTSTOWN, PA 19464-9223
(484) 433-2025
Mailing address
117 COBBLESTONE DR, GILBERTSVILLE, PA 19525-8844
(484) 433-2025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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