Provider Information for 1619033172
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MARISSA BETH NAMIRR LPC
Sex: Female
NPI: 1619033172
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619033172 | ||||||||
| Enumeration Date | 2006-12-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1401 BURLEYSON DR STE 1 DALTON, GA 30720-2522 United States Phone: 706-270-5002 | Fax:706-270-5111 | ||||||||
| Primary Practice Address | 650 JOE FRANK HARRIS PKWY SE CARTERSVILLE, GA 30120-3962 United States Phone: 770-387-3538 | Fax:770-607-9704 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|