Provider Demographics
NPI:1063877447
Name:MARRS, EMILY (LMFT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MARRS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 2ND ST
Mailing Address - Street 2:APT 201
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-1967
Mailing Address - Country:US
Mailing Address - Phone:612-554-0100
Mailing Address - Fax:
Practice Address - Street 1:500 2ND ST
Practice Address - Street 2:201
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-1967
Practice Address - Country:US
Practice Address - Phone:612-554-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2369106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist