Marisa Larue is a Mental Health in Maple Valley, Washington. Marisa Larue practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Marisa Larue is 1730305020. The last update date is 2017-12-28.
Marisa Larue's current location address is 21619 Se 272nd Ln, Maple Valley, Washington. You can contact this provider via phone number 4255847051 and fax number 8889771762. The mailing address for Marisa Larue is 21619 Se 272nd Ln, Maple Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marisa Larue |
|---|---|
| Address | 21619 Se 272nd Ln, Maple Valley, Washington |
| Phone Number | 4255847051 |
| Fax Number | 8889771762 |
| Sole Proprietor | Y |
| Credentials | MA, LMHC |
NPI Number Detail
| NPI Number | 1730305020 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2017-12-28 |
Provider Mailing Address Detail
| Address | 21619 Se 272nd Ln |
|---|---|
| City | Maple Valley |
| State | Washington (WA) |
| Post Code | 980383271 |
| Phone Number | 4255847051 |
| Fax Number | 8889771762 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LH00006151 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marisa Larue by the Centers for Medicare & Medicaid Services?
The Marisa Larue has been issued the NPI (National Provider Identifier) 1730305020 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Marisa Larue is physically located?
The Marisa Larue is physically situated at the following address: 21619 Se 272Nd Ln, Maple Valley, WA, 980383271.
What is Marisa Larue's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marisa Larue's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730305020 to Marisa Larue?
The Centers for Medicare & Medicaid Services originally issued the 1730305020 to Marisa Larue on 2007-04-17.
When was the Marisa Larue's information last updated?
The Marisa Larue's information was last updated on 2017-12-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY