Provider Demographics
NPI:1518035617
Name:MERRITT, ANDREW JAY (LPC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:JAY
Last Name:MERRITT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1746 MELROSE DR
Mailing Address - Street 2:350 CENTER RD
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721
Mailing Address - Country:US
Mailing Address - Phone:918-606-3536
Mailing Address - Fax:
Practice Address - Street 1:2215 E. 21ST STREET
Practice Address - Street 2:
Practice Address - City:TULSA, OK 74104
Practice Address - State:OK
Practice Address - Zip Code:74104
Practice Address - Country:US
Practice Address - Phone:918-606-3536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015803101YP2500X
OK1602101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional