Destin, Marietha

Destin, Marietha is an individual health care provider with primary practice located at 211 Lithia Pinecrest Rd , Brandon FL 33511-5307. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Destin, Marietha can be contacted via phone (813) 720-5191.

Contact Information

Primary practice address
211 Lithia Pinecrest Rd Brandon FL 33511-5307
Phone: (813) 720-5191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2998 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X MT2998 Florida

Profile Details

NPI number 1811295959
LBN Legal business name Destin, Marietha
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2011
Last updated Mar 9th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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