Individual
PHYLLIS C MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
540 NW 165TH ST STE 110, MIAMI, FL 33169-6304
(786) 648-6550
(786) 648-6505
Mailing address
635 SW 14TH TER APT 8, FT LAUDERDALE, FL 33312-7280
(954) 304-2399
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH9698
FL
106H00000X
Marriage & Family Therapist
Primary
MT2404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767784700
—
FL
Enumeration date
02/26/2007
Last updated
11/29/2020
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