Provider Demographics
NPI:1528030624
Name:PRIETO, MARTA M (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:M
Last Name:PRIETO
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1499 FOREST HILL BLVD
Mailing Address - Street 2:STE. 102
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6050
Mailing Address - Country:US
Mailing Address - Phone:561-963-8776
Mailing Address - Fax:561-963-8867
Practice Address - Street 1:1499 FOREST HILL BLVD
Practice Address - Street 2:STE. 102
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6050
Practice Address - Country:US
Practice Address - Phone:561-963-8776
Practice Address - Fax:561-963-8867
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 5011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health