Provider Demographics
NPI:1225920986
Name:ENNIS, MAREA TRONCALE (LPC)
Entity type:Individual
Prefix:
First Name:MAREA
Middle Name:TRONCALE
Last Name:ENNIS
Suffix:
Gender:X
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 FARLEY PL
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1416
Mailing Address - Country:US
Mailing Address - Phone:205-835-8432
Mailing Address - Fax:
Practice Address - Street 1:300 CENTURY PARK S STE 201
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3924
Practice Address - Country:US
Practice Address - Phone:205-266-1601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC03053101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor