Organization
ELSA M MARBAN LMHC PSY D
Active
Parent organization
ELSA M MARBAN LMHC PSY D
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELSA M MARBAN LMHC PSY D
Authorized official
DR. ELSA MARIA MARBAN L.M.H.C., PSY. D. (OWNER/ PSYCHOLOGIST)
(305) 631-0778
Entity
Organization
Contact information
Practice address
2264 SW 7TH ST, MIAMI, FL 33135-3112
(305) 631-0778
(305) 631-0779
Mailing address
2264 SW 7TH ST, MIAMI, FL 33135-3112
(305) 631-0778
(305) 631-0779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PY6114
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY6114
FL
103TC0700X
Clinical Psychologist
Primary
PY6114
FL
103TR0400X
Rehabilitation Psychologist
PY6114
FL
106H00000X
Marriage & Family Therapist
MH4305
FL
Other
Enumeration date
10/29/2007
Last updated
01/24/2008
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