Marissa Lee Douglas
LMHC
Counselor - Mental Health
About Marissa Lee Douglas
Marissa Lee Douglas, LMHC, is a female healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1417600982.
Marissa Lee Douglas received her medical education at OTHER, graduating in 2015. Their primary practice is located at 300 WEST AVE, Brockport, New York 14420. Patients can reach the office at (585) 637-3905.
Marissa Lee Douglas is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Marissa Lee Douglas has been NPI-registered since 2022.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1417600982
- Entity Type
- Individual
- First Name
- Marissa
- Last Name
- Douglas
- Credential
- LMHC
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2015
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 300 WEST AVE
- City
- Brockport
- State
- New York
- ZIP
- 14420-1118
- Country
- United States
- Phone
- (585) 637-3905
Specialty & Taxonomy
- Primary Specialty
- Counselor - Mental Health
- Classification
- Counselor
- Specialization
- Mental Health
- Taxonomy Code
- 101YM0800X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1042 CLARKSON PARMA TL RD
- City
- HILTON
- State
- NY
- ZIP
- 144689709
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Marissa Lee Douglas's NPI number?
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Where is Marissa Lee Douglas located?
Does Marissa Lee Douglas accept Medicare?
Does Marissa Lee Douglas offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Marissa Lee Douglas is 1417600982.