Andre Hadley Marria, LPC, CPCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000552 Issued in GA

Practice address

102 Royal Ave
Thomasville, GA 31792-5233

Phone

(229) 221-7230

Fax

(772) 236-0954

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1861153116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3103",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317993103",
            "telephone_number": "229-221-7230",
            "fax_number": "229-236-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ROYAL AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925233",
            "telephone_number": "229-221-7230",
            "fax_number": "772-236-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIA",
        "first_name": "ANDRE",
        "middle_name": "HADLEY",
        "name_prefix": "Mrs.",
        "credential": "LPC, CPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "000552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "229-236-0954",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "102 Royal Ave",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317925233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John A Mansberger
• Catherine Marchant, LCSW
• Luis Rafael Marin Guillent, PA
• Mark G. Wood M.D. (Southwest Georgia Nephrology & Hypertension Center)
• Adam Thomas Marler, MD
• Jillian Martell
• Matthew Moree DMD, LLC
• Madison Grace Maxwell, NP
• Robert Maxwell, M.D.
• Amanda D. May, MD

• Professional Counselor in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.