Individual
MS. MERRILY NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 BOLIN CREEK DR, CARRBORO, NC 27510-4106
(919) 942-1200
(919) 967-9904
Mailing address
700 BOLIN CREEK DR, CARRBORO, NC 27510-4106
(919) 942-1200
(919) 967-9904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
175000000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750000000
STATE CSSW LICENSE #
NC
01
—
62060
BCBS PROVIDER NUMBER
NC
Enumeration date
12/18/2006
Last updated
07/09/2007
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