MEDICARE: MARY ELIZABETH QUICK MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH12026	FL

General Provider Information

NPI Number	:	1861148975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH QUICK MA, LMHC

Provider Business Mailing Address
First Line	:	4259 COVEY CIR # 16-C
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-2503
Country	:	US
Telephone Number	:	239-777-0840
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 VINEYARDS BLVD STE 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-4748
Country	:	US
Telephone Number	:	239-326-0796
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	01/05/2024

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