Individual ProviderMerrily ShipeCounselorBehavioral Health & Social Service ProvidersPractice Address14949 62nd St N, Stillwater, MN 55082-6102(651) 275-7400PECOS EnrollmentBased on the most recent information from CMS, provider Merrily Shipe 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 yesterday at 12:57 PM.Profile DetailsProvider ID1821642166Provider TypeIndividualFull NameShipe, MerrilyCredentialLPCGenderFemaleSole ProprietorYesEnumeration Date7/25/2019Last Updated7/25/2019Contact InformationPractice LocationPractice Address14949 62nd St N, Stillwater, MN 55082-6102Phone(651) 275-7400FaxUnlisted FaxMailing LocationMailing Address14949 62nd St N, Stillwater, MN 55082-6102Phone(651) 275-7400FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense01830Minnesota