Provider Demographics
NPI:1437435849
Name:CONNER, MARCY SOLOMON (MED, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:MARCY
Middle Name:SOLOMON
Last Name:CONNER
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E PARK ROW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4426
Mailing Address - Country:US
Mailing Address - Phone:817-804-1551
Mailing Address - Fax:817-275-7866
Practice Address - Street 1:105 E PARK ROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4426
Practice Address - Country:US
Practice Address - Phone:817-804-1551
Practice Address - Fax:817-275-7866
Is Sole Proprietor?:No
Enumeration Date:2011-10-30
Last Update Date:2011-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65176101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional