Provider Demographics
NPI:1932503588
Name:DEBAY MARKS, KERRY (LMHC, ATR-BC, CTS)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:
Last Name:DEBAY MARKS
Suffix:
Gender:F
Credentials:LMHC, ATR-BC, CTS
Other - Prefix:MS
Other - First Name:KERRY
Other - Middle Name:
Other - Last Name:DEBAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, ATR-BC, CTS
Mailing Address - Street 1:2310 SE 2ND ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7280
Mailing Address - Country:US
Mailing Address - Phone:561-818-1987
Mailing Address - Fax:
Practice Address - Street 1:2310 SE 2ND ST
Practice Address - Street 2:SUITE 7
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7280
Practice Address - Country:US
Practice Address - Phone:561-818-1987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health