Provider Demographics
NPI:1427472760
Name:VINCENZA MARASH, LLC
Entity type:Organization
Organization Name:VINCENZA MARASH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENZA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:MARASH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PHD
Authorized Official - Phone:816-351-8945
Mailing Address - Street 1:1103 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64501-1314
Mailing Address - Country:US
Mailing Address - Phone:816-351-8945
Mailing Address - Fax:
Practice Address - Street 1:9229 WARD PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3326
Practice Address - Country:US
Practice Address - Phone:816-444-5511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060330181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty