Provider Demographics
NPI:1689026999
Name:PEATS, MARIE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:PEATS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 SHENANDOAH RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2217
Mailing Address - Country:US
Mailing Address - Phone:540-718-3620
Mailing Address - Fax:
Practice Address - Street 1:830 SHENANDOAH RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2217
Practice Address - Country:US
Practice Address - Phone:540-718-3620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical