Provider Demographics
NPI:1346935251
Name:GARNSEY, MARYANNE CATHERINE (MS, LMFT, PMHC)
Entity type:Individual
Prefix:
First Name:MARYANNE
Middle Name:CATHERINE
Last Name:GARNSEY
Suffix:
Gender:F
Credentials:MS, LMFT, PMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2449 SW FALCON CIR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2923
Mailing Address - Country:US
Mailing Address - Phone:321-689-6080
Mailing Address - Fax:
Practice Address - Street 1:15200 S JOG RD STE 303
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1249
Practice Address - Country:US
Practice Address - Phone:561-503-3049
Practice Address - Fax:561-634-2776
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMH2239101YM0800X
FLMT5070106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health