Marcus, Phyllis C

Marcus, Phyllis C is an individual health care provider with primary practice located at 540 Nw 165Th St Ste 110 , Miami FL 33169-6304. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Marcus, Phyllis C can be contacted via phone (786) 648-6550.

Contact Information

Primary practice address
540 Nw 165Th St Ste 110 Miami FL 33169-6304
Phone: (786) 648-6550
Fax: (786) 648-6505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9698 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2404 Florida

Profile Details

NPI number 1285760702
LBN Legal business name Marcus, Phyllis C
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Nov 29th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285760702 NPPES
Florida MEDICAID 767784700

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