Organization Name: | MARLEY WOLFE COUNSELING SERVICES |
NPI Number: | 1326243056 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARLEY JONES WOLFE (OWNER) |
Mailing Address: | 213 E Butler Rd Suite E-2 Mauldin |
State: | SC US |
Postal Code: | 296622171 |
Phone Number: | 8643604287 |
Fax Number: | 8642486298 |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |