Individual provider · Type 1 NPI

Merrium Stidham, LMSW

Mental Health Counselor · Tucker, GA

NPI number 1588504385 Active

Practice location

2298 Brockett Rd
Tucker, GA 30084-4414

Call (706) 425-8900 Map

Mailing address

1 Huntington Rd Ste 703
Athens, GA 30606-7214

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMSW012076 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1588504385

Merrium Stidham, LMSW's National Provider Identifier is 1588504385, issued on Mar 31, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucker, GA. The record was last updated on Mar 31, 2026.