Provider Demographics
NPI:1093450611
Name:MORIN, MARIE L (LMHC)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:L
Last Name:MORIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:L
Other - Last Name:MORIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:4 SELVIA CT
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-2117
Mailing Address - Country:US
Mailing Address - Phone:516-729-1845
Mailing Address - Fax:
Practice Address - Street 1:4 SELVIA CT
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-2117
Practice Address - Country:US
Practice Address - Phone:516-729-1845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012024-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty