Provider Demographics
NPI:1972748085
Name:MAPEL, MARCIA (LMHC, CAP)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:MAPEL
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 CORSA TER
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-8509
Mailing Address - Country:US
Mailing Address - Phone:850-723-1179
Mailing Address - Fax:850-494-9891
Practice Address - Street 1:4300 BAYOU BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-1949
Practice Address - Country:US
Practice Address - Phone:850-723-1179
Practice Address - Fax:850-494-9891
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9313101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL471143663OtherTRICARE, HUMANA