Provider Demographics
NPI:1790169464
Name:MARSHALEE HANSON-GROTZ, LPC, LLC
Entity Type:Organization
Organization Name:MARSHALEE HANSON-GROTZ, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED (THERAPIST) PROFESSIONAL C
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHALEE
Authorized Official - Middle Name:LATOYA
Authorized Official - Last Name:HANSON-GROTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-242-9819
Mailing Address - Street 1:380 MIDDLETOWN BLVD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3504
Mailing Address - Country:US
Mailing Address - Phone:267-242-9819
Mailing Address - Fax:
Practice Address - Street 1:380 MIDDLETOWN BLVD ST. 710 LANGHORNE PA 19047
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3504
Practice Address - Country:US
Practice Address - Phone:267-242-9819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006926101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty