Healthcare Provider Details

I. General information

NPI: 1376804484
Provider Name (Legal Business Name): ELIZABETH MARRIN LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 WELSH RD STE 120
NORTH WALES PA
19454-3794
US

IV. Provider business mailing address

1120 WELSH RD STE 120
NORTH WALES PA
19454-3794
US

V. Phone/Fax

Practice location:
  • Phone: 484-685-1092
  • Fax: 833-449-5119
Mailing address:
  • Phone: 484-685-1092
  • Fax: 833-449-5119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11870
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020311
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: