| Doctor Name: | MR. MARCUS ZACHARIAH FOLKES |
| NPI Number: | 1063887289 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 2400 S Ridgewood Ave Suite 32 South Daytona, FL - 321193097 |
| Business Phone Number: | 3863047600 |
| Business Fax Number: | |
| Mailing Address: | 131 White Fawn Dr, DAYTONA BEACH |
| State: | FL |
| Postal Code: | 321141460 |
| Phone Number: | 9048810227 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2015 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |