Provider Demographics
NPI:1598279754
Name:PIMSLER, MARC V (LAPC, MA, MAC, NCC)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:V
Last Name:PIMSLER
Suffix:
Gender:M
Credentials:LAPC, MA, MAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4718 SHALLOW RIDGE RD NE
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-5303
Mailing Address - Country:US
Mailing Address - Phone:404-839-2331
Mailing Address - Fax:
Practice Address - Street 1:2621 SANDY PLAINS RD STE 101
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4276
Practice Address - Country:US
Practice Address - Phone:404-839-2331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015786101YA0400X
GAAPC006151101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)