Provider Demographics
NPI:1669090205
Name:CORDERY, MARIAH DELAINEY (MA, LPC, CMHC)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:DELAINEY
Last Name:CORDERY
Suffix:
Gender:F
Credentials:MA, LPC, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 GREENHAM LN
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3791
Mailing Address - Country:US
Mailing Address - Phone:325-650-1431
Mailing Address - Fax:
Practice Address - Street 1:1508 SANTA FE DR STE 304
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5859
Practice Address - Country:US
Practice Address - Phone:817-255-2652
Practice Address - Fax:817-255-2657
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-09
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11751015-6004101YM0800X
TX80090101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health