Healthcare Provider Details

I. General information

NPI: 1740829357
Provider Name (Legal Business Name): NAHTANHA P MARLER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10109 PINEY MOUNTAIN RD SW
FROSTBURG MD
21532-3331
US

IV. Provider business mailing address

10109 PINEY MOUNTAIN RD SW
FROSTBURG MD
21532-3331
US

V. Phone/Fax

Practice location:
  • Phone: 661-912-5116
  • Fax:
Mailing address:
  • Phone: 661-912-5116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701014668
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: