Provider Demographics
NPI:1184087165
Name:MAJOR, MARLEA MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:MARLEA
Middle Name:MARIE
Last Name:MAJOR
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 1:1723 SW 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-3321
Mailing Address - Country:US
Mailing Address - Phone:239-440-0519
Mailing Address - Fax:
Practice Address - Street 1:1723 SW 11TH AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-3321
Practice Address - Country:US
Practice Address - Phone:239-440-0519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17032101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health