Provider Demographics
NPI:1427845239
Name:VANHOOSER, MARIANNE KAY (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:KAY
Last Name:VANHOOSER
Suffix:
Gender:
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 BROOKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-4138
Mailing Address - Country:US
Mailing Address - Phone:931-644-4631
Mailing Address - Fax:
Practice Address - Street 1:1688 BROOKDALE AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-4138
Practice Address - Country:US
Practice Address - Phone:931-644-4631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health