Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Stacy, LCPAT, ATR-BC, CTP

Individual provider Art Therapist · NPI 1871453787

Marissa Stacy, LCPAT, ATR-BC, CTP is an Art Therapist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

3300 Gaither Rd
Baltimore, MD 21244-2916
Phone: (410) 922-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence ATC382 (MD)

Record details

NPI number1871453787
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPAT , ATR-BC , CTP
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

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