Provider Demographics
NPI:1891679825
Name:MARR, JAMES
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:MARR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10149 LEAPING BUCK PT
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76126-1100
Mailing Address - Country:US
Mailing Address - Phone:682-260-8752
Mailing Address - Fax:
Practice Address - Street 1:200 N MESQUITE ST STE 204
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-7529
Practice Address - Country:US
Practice Address - Phone:682-260-8752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty