Provider Demographics
NPI:1972936854
Name:PHARNES, MARLYNN PATRAY (LMHC)
Entity type:Individual
Prefix:
First Name:MARLYNN
Middle Name:PATRAY
Last Name:PHARNES
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 3RD ST SW STE 304
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-2969
Mailing Address - Country:US
Mailing Address - Phone:863-224-2408
Mailing Address - Fax:
Practice Address - Street 1:20 3RD ST SW STE 304
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-2969
Practice Address - Country:US
Practice Address - Phone:863-224-2408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
FL8851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral