Healthcare Provider Details

I. General information

NPI: 1699763839
Provider Name (Legal Business Name): MARY A MARCHANT LMFT, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 WASHINGTON ST
NORWELL MA
02061-1753
US

IV. Provider business mailing address

67 BEAVER LN
ABINGTON MA
02351-1225
US

V. Phone/Fax

Practice location:
  • Phone: 781-878-6505
  • Fax:
Mailing address:
  • Phone: 781-878-8925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5270
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1264
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: