Provider Demographics
NPI:1982333159
Name:MERCHANT, COLETTE
Entity type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COMMERCE PARK N STE 13B
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6959
Mailing Address - Country:US
Mailing Address - Phone:603-606-1233
Mailing Address - Fax:603-606-1233
Practice Address - Street 1:10 COMMERCE PARK N STE 13B
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6959
Practice Address - Country:US
Practice Address - Phone:603-606-1233
Practice Address - Fax:603-606-1233
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH726106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty