Provider Demographics
NPI:1487789418
Name:MARCIA B. DUBOIS, LMSW-ACP, INC.
Entity type:Organization
Organization Name:MARCIA B. DUBOIS, LMSW-ACP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DUBOIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-461-6183
Mailing Address - Street 1:1007 W MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2508
Mailing Address - Country:US
Mailing Address - Phone:817-461-6183
Mailing Address - Fax:817-265-7433
Practice Address - Street 1:1007 W MITCHELL ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2508
Practice Address - Country:US
Practice Address - Phone:817-461-6183
Practice Address - Fax:817-265-7433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS09673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00433ZMedicare ID - Type Unspecified
TXR60003Medicare UPIN