Individual
DR. GINA REVE MARRIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LSSP
Contact information
Practice address
2021 GUADALUPE ST STE 260, AUSTIN, TX 78705-5654
(817) 504-7969
Mailing address
6816 LANCELOT CT, FORT WORTH, TX 76133-5005
(817) 507-7969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11888
TX
103TS0200X
School Psychologist
31478
TX
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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