Marquez, Martha Grace

Marquez, Martha Grace is an sole proprietor health care provider with primary practice located at 1881 Ne 26Th St Ste 201A , Wilton Manors FL 33305. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Marquez, Martha Grace can be contacted via phone (965) 368-5819.

Contact Information

Primary practice address
1881 Ne 26Th St Ste 201A Wilton Manors FL 33305
Phone: (965) 368-5819
Fax: (954) 530-1792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8046 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP4063 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH8046 Florida

Profile Details

NPI number 1598808230
LBN Legal business name Marquez, Martha Grace
Credentials LMHC, MCAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Aug 28th, 2018 - about 6 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 1598808230 NPPES
Florida MEDICAID 076576700

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