Provider Demographics
NPI:1982772521
Name:GUIMARAES, MARCIA SOUSA (LPC, CAGS)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:SOUSA
Last Name:GUIMARAES
Suffix:
Gender:F
Credentials:LPC, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4706 OLEANDER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-5107
Mailing Address - Country:US
Mailing Address - Phone:910-409-7466
Mailing Address - Fax:910-313-6711
Practice Address - Street 1:4706 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-5107
Practice Address - Country:US
Practice Address - Phone:910-409-7466
Practice Address - Fax:910-313-6711
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7289OtherNORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS