MEDICARE: MARIETTA JUSTICE MA, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	261755	KY

General Provider Information

NPI Number	:	1225435332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIETTA JUSTICE MA, LPCC

Provider Business Mailing Address
First Line	:	350 THOMAS MORE PKWY STE 160
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5460
Country	:	US
Telephone Number	:	859-600-6990
Fax Number	:	859-927-3171

Provider Business Practice Location Address
First Line	:	350 THOMAS MORE PKWY STE 160
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5460
Country	:	US
Telephone Number	:	859-600-6990
Fax Number	:	859-927-3171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2014
Last Update Date	:	10/24/2024

Similar Medicare Providers

1275726580 — TRI STATE UROLOGIC SERVICES PSC INC
Practice Location Address:

350 THOMAS MORE PKWY STE 200
CRESTVIEW HILLS, KY
41017-5460

Practice Phone: 859-363-2200
Practice Fax:

1235203118 — HANGER PROSTHETICS & ORTHOTICS EAST INC
Practice Location Address:

350 THOMAS MORE PKWY STE 290
CRESTVIEW HILLS, KY
41017-5460

Practice Phone: 859-600-1405
Practice Fax:

1043686124 — LAUREN FUTSCHER
Practice Location Address:

350 THOMAS MORE PKWY STE 160
CRESTVIEW HILLS, KY
41017-5460

Practice Phone: 859-600-6990
Practice Fax: 859-927-3171

1144696360 — MISS HOLLI RENEE MILLER M.ED., LPCC
Practice Location Address:

350 THOMAS MORE PKWY STE 160
CRESTVIEW HILLS, KY
41017-5460

Practice Phone: 859-600-6990
Practice Fax: 859-927-3171

1376045187 — MOLLY ELIZABETH SHEELEY NP-C
Practice Location Address:

350 THOMAS MORE PKWY STE 200
CRESTVIEW HILLS, KY
41017-5460

Practice Phone: 513-841-7404
Practice Fax: 513-841-7402

1023642824 — JENNIFER KAY DIEMAN MED, LPCC
Practice Location Address:

350 THOMAS MORE PKWY STE 160
CRESTVIEW HILLS, KY
41017-5460

Practice Phone: 859-600-6990
Practice Fax: 859-927-3171

Directions to “ MARIETTA JUSTICE MA, LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.