Provider Demographics
NPI:1720349525
Name:GARRETT, MARQUITA RACHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARQUITA
Middle Name:RACHELLE
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MARQUITA
Other - Middle Name:RACHELLE
Other - Last Name:GARRETT-KNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:AMELIA COURT HOUSE
Mailing Address - State:VA
Mailing Address - Zip Code:23002-0191
Mailing Address - Country:US
Mailing Address - Phone:804-410-4551
Mailing Address - Fax:
Practice Address - Street 1:9520 IRON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-6455
Practice Address - Country:US
Practice Address - Phone:804-539-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional