Organization
MARPE' THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY WRATHER MBA (CEO)
(270) 576-3303
Entity
Organization
Contact information
Practice address
2111 BELLE HAVEN BLVD, BOWLING GREEN, KY 42104-7205
(270) 576-3303
(270) 517-0300
Mailing address
2111 BELLE HAVEN BLVD, BOWLING GREEN, KY 42104-7205
(270) 576-3303
(270) 517-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC1900X
Counseling Psychologist
—
—
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100317340
—
KY
Enumeration date
03/20/2014
Last updated
10/21/2019
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