Provider Demographics
NPI:1831612522
Name:MARSILI, RICARDO STEPHEN (LPC)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:STEPHEN
Last Name:MARSILI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 S MAIN ST STE 404
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3115
Mailing Address - Country:US
Mailing Address - Phone:724-516-1569
Mailing Address - Fax:
Practice Address - Street 1:231 S MAIN ST
Practice Address - Street 2:SUITE 404
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-516-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009730101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health