Provider Demographics
NPI:1992824783
Name:SEEBERG, MARCIA SCOTT (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:SCOTT
Last Name:SEEBERG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 N STATE ROAD 7
Mailing Address - Street 2:SUITE #110
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3262
Mailing Address - Country:US
Mailing Address - Phone:954-987-4100
Mailing Address - Fax:954-987-4577
Practice Address - Street 1:2525 N STATE ROAD 7
Practice Address - Street 2:SUITE #110
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3262
Practice Address - Country:US
Practice Address - Phone:954-987-4100
Practice Address - Fax:954-987-4577
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health