Provider Demographics
NPI:1437442969
Name:TUTHILL, MARCIA ANNE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:ANNE
Last Name:TUTHILL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:ANNE
Other - Last Name:HUFTALEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,LMFT
Mailing Address - Street 1:74 VANCOUVER AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2841
Mailing Address - Country:US
Mailing Address - Phone:401-440-3829
Mailing Address - Fax:
Practice Address - Street 1:400 BALD HILL RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1617
Practice Address - Country:US
Practice Address - Phone:401-352-0007
Practice Address - Fax:401-352-0023
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1527106H00000X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)