Healthcare Provider Details

I. General information

NPI: 1295349876
Provider Name (Legal Business Name): MARALEE SYERS COFFEY LCPC, LCPAT, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARALEE SYERS LCPC, LCPAT, ATR-BC

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 08/25/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 TANEY AVE STE 201
FREDERICK MD
21702-5126
US

IV. Provider business mailing address

1475 TANEY AVE STE 201
FREDERICK MD
21702-5126
US

V. Phone/Fax

Practice location:
  • Phone: 301-662-0133
  • Fax:
Mailing address:
  • Phone: 301-662-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC9037
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberATC198
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: