Provider Demographics
NPI:1689157901
Name:MCGILL, MARQUI (MS, LMFT-A)
Entity Type:Individual
Prefix:
First Name:MARQUI
Middle Name:
Last Name:MCGILL
Suffix:
Gender:F
Credentials:MS, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5675 LAKE DISTRICT DR UNIT 106
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4440
Mailing Address - Country:US
Mailing Address - Phone:432-528-7698
Mailing Address - Fax:
Practice Address - Street 1:2300 WILLIAM D TATE AVE
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3919
Practice Address - Country:US
Practice Address - Phone:817-424-9013
Practice Address - Fax:817-329-0974
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2024-01-19
Deactivation Date:2019-03-27
Deactivation Code:
Reactivation Date:2024-01-19
Provider Licenses
StateLicense IDTaxonomies
TX203191106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist