Provider Demographics
NPI:1043513518
Name:PEELER, MARIAN B (MMFT, LLMT)
Entity type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:B
Last Name:PEELER
Suffix:
Gender:F
Credentials:MMFT, LLMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-2309
Mailing Address - Country:US
Mailing Address - Phone:864-583-5969
Mailing Address - Fax:864-580-5460
Practice Address - Street 1:153 N SPRING ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-2309
Practice Address - Country:US
Practice Address - Phone:864-583-5969
Practice Address - Fax:864-580-5460
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5013106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist