Provider Demographics
NPI:1043973050
Name:MAUPIN, MARIA RENEE (LMFT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:RENEE
Last Name:MAUPIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:R
Other - Last Name:MAUPIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:125 CHENOWETH LN STE 110
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-2641
Mailing Address - Country:US
Mailing Address - Phone:502-735-1338
Mailing Address - Fax:
Practice Address - Street 1:125 CHENOWETH LN STE 110
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-2641
Practice Address - Country:US
Practice Address - Phone:502-735-1338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-17
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY293360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist