Provider Demographics
NPI:1073655932
Name:SATTERWHITE, MARIE LOUISE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:LOUISE
Last Name:SATTERWHITE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 S FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2169
Mailing Address - Country:US
Mailing Address - Phone:863-292-8292
Mailing Address - Fax:863-292-8283
Practice Address - Street 1:160 AVENUE E NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4127
Practice Address - Country:US
Practice Address - Phone:863-292-8292
Practice Address - Fax:863-292-8283
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2011-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2118101YP2500X
CT001822101Y00000X
FLPMH1007101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor