Provider Demographics
NPI:1295493757
Name:SITHE, MARRIETH SITHABILE
Entity type:Individual
Prefix:
First Name:MARRIETH
Middle Name:SITHABILE
Last Name:SITHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:798 EVANGELINE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3127
Mailing Address - Country:US
Mailing Address - Phone:513-405-5223
Mailing Address - Fax:
Practice Address - Street 1:798 EVANGELINE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3127
Practice Address - Country:US
Practice Address - Phone:513-405-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2107074104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker