Individual ProviderNancy J MerrillCounselorBehavioral Health & Social Service ProvidersPractice Address11415 NE 128th St Ste 100, Kirkland, WA 98034-6314(425) 820-5150(206) 365-1758PECOS EnrollmentBased on the most recent information from CMS, provider Nancy J Merrill does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821212408Provider TypeIndividualFull NameMerrill, Nancy JCredentialMA, MED, LMHCGenderFemaleSole ProprietorYesEnumeration Date4/13/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address11415 NE 128th St Ste 100, Kirkland, WA 98034-6314Phone(425) 820-5150Fax(425) 823-3948Mailing LocationMailing Address3024 NE 180th St, Lake Forest Park, WA 98155-4027Phone(206) 365-1758FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH 00003447Washington