Provider Demographics
NPI:1699325829
Name:LABRANCHE, MARIE G (LMFT)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:G
Last Name:LABRANCHE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2944 HIDDEN HILLS RD APT 1602
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4827
Mailing Address - Country:US
Mailing Address - Phone:561-932-3027
Mailing Address - Fax:
Practice Address - Street 1:100 VILLAGE SQUARE XING STE 105
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4531
Practice Address - Country:US
Practice Address - Phone:561-463-3078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3693103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty