Healthcare Provider Details

I. General information

NPI: 1235885328
Provider Name (Legal Business Name): LEAH MARATEA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 QUINCE ORCHARD BLVD STE G
GAITHERSBURG MD
20878-1614
US

IV. Provider business mailing address

6602 BLUE BEECH DR
FREDERICK MD
21703-7962
US

V. Phone/Fax

Practice location:
  • Phone: 301-825-8385
  • Fax:
Mailing address:
  • Phone: 516-305-1291
  • Fax: 855-568-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP18336
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: