Provider Demographics
NPI:1770647406
Name:MEE, MARILYN J (LMFT MSW)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:J
Last Name:MEE
Suffix:
Gender:F
Credentials:LMFT MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12300 ALT AIA
Mailing Address - Street 2:#113
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-624-5422
Mailing Address - Fax:561-776-9687
Practice Address - Street 1:12300 ALT AIA
Practice Address - Street 2:#113
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-624-5422
Practice Address - Fax:561-776-9687
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1134106H00000X
FLMT1174106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist