Provider Demographics
NPI:1700914728
Name:WINTER, MARCIA (LPCMH)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 FOULK RD
Mailing Address - Street 2:APT. 2C8
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3805
Mailing Address - Country:US
Mailing Address - Phone:302-652-5090
Mailing Address - Fax:
Practice Address - Street 1:1601 CONCORD PIKE
Practice Address - Street 2:SUITE 92-100
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3612
Practice Address - Country:US
Practice Address - Phone:302-409-3434
Practice Address - Fax:302-654-1317
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000237101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor