Provider Demographics
NPI:1437876356
Name:FARHI, MARIEL MICHAEL (LGMFT)
Entity Type:Individual
Prefix:
First Name:MARIEL
Middle Name:MICHAEL
Last Name:FARHI
Suffix:
Gender:F
Credentials:LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 N CALVERT ST APT A3
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3996
Mailing Address - Country:US
Mailing Address - Phone:607-592-6420
Mailing Address - Fax:
Practice Address - Street 1:6505 DEMOCRACY BLVD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1688
Practice Address - Country:US
Practice Address - Phone:240-255-0522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM914106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist