Provider Demographics
NPI:1710128988
Name:MARAH COUNSELING & COACHING SERVICES
Entity Type:Organization
Organization Name:MARAH COUNSELING & COACHING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZACHRY
Authorized Official - Suffix:
Authorized Official - Credentials:M
Authorized Official - Phone:337-857-8375
Mailing Address - Street 1:350 CYPRESS CV
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5143
Mailing Address - Country:US
Mailing Address - Phone:337-857-8375
Mailing Address - Fax:337-856-1822
Practice Address - Street 1:3 FLAGG PL STE A3
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7003
Practice Address - Country:US
Practice Address - Phone:337-857-8375
Practice Address - Fax:337-856-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA457106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty