Provider Demographics
NPI:1649052853
Name:MARPLE, PRIYANKA (LGPC)
Entity type:Individual
Prefix:
First Name:PRIYANKA
Middle Name:
Last Name:MARPLE
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14021 12 OAKS CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1152
Mailing Address - Country:US
Mailing Address - Phone:410-428-0954
Mailing Address - Fax:
Practice Address - Street 1:8181 MAIN STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043
Practice Address - Country:US
Practice Address - Phone:410-505-0062
Practice Address - Fax:410-650-5893
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP14475101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health