Individual ProviderMarie L. FahringerCounselorBehavioral Health & Social Service ProvidersPractice Address1210 Millennium Center Parkway, Suite 1016, Brandon, FL 33511-4896(813) 494-0656PECOS EnrollmentBased on the most recent information from CMS, provider Marie L. Fahringer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1255696571Provider TypeIndividualFull NameFahringer, Marie L.TitleMrs.CredentialMA, LMHCGenderFemaleSole ProprietorYesEnumeration Date7/12/2012Last Updated3/20/2015Contact InformationPractice LocationPractice Address1210 Millennium Center Parkway, Suite 1016, Brandon, FL 33511-4896Phone(813) 494-0656Fax(813) 677-3060Mailing LocationMailing Address1210 Millennium Pkwy, Suite 1016, Brandon, FL 33511-4896Phone(813) 494-0656Fax(813) 677-3060Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH13259Florida