Provider Demographics
NPI:1114576501
Name:ROOP, MARGUERITE MARY (LPCC-S; CEAP; SAP)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:MARY
Last Name:ROOP
Suffix:
Gender:F
Credentials:LPCC-S; CEAP; SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1056
Mailing Address - Country:US
Mailing Address - Phone:330-419-3416
Mailing Address - Fax:
Practice Address - Street 1:445 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1056
Practice Address - Country:US
Practice Address - Phone:330-419-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-2884101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health