Provider Demographics
NPI:1811173024
Name:MAHARAJ, MARJORIE E (LMHC)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:E
Last Name:MAHARAJ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:E
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2609 SW 33RD ST
Mailing Address - Street 2:BLDG 103
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-671-7932
Mailing Address - Fax:352-237-8363
Practice Address - Street 1:2609 SW 33RD ST
Practice Address - Street 2:BLDG 103
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-671-7932
Practice Address - Fax:352-237-8363
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7820101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health