Provider Demographics
NPI:1356636963
Name:MARZETT, CATRICE RENEE (BHRS)
Entity Type:Individual
Prefix:
First Name:CATRICE
Middle Name:RENEE
Last Name:MARZETT
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8008
Mailing Address - Country:US
Mailing Address - Phone:405-313-7374
Mailing Address - Fax:
Practice Address - Street 1:2908 OLYMPIA DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8008
Practice Address - Country:US
Practice Address - Phone:405-313-7374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health