Marissa Marie Sorce

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

140 S Beach St Ste 310
Daytona Beach, FL 32114-4409

Phone

(386) 785-5188

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1093468910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BLACKJACK RIDGE TRL",
            "city": "LAKE HELEN",
            "state": "FL",
            "postal_code": "327443386",
            "telephone_number": "386-785-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S BEACH ST STE 310",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144409",
            "telephone_number": "386-785-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Blackjack Ridge Trl",
            "address_purpose": "LOCATION",
            "city": "Lake Helen",
            "state": "FL",
            "postal_code": "327443386",
            "country_code": "US",
            "telephone_number": "386-785-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORCE",
        "first_name": "MARISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.