Provider Demographics
NPI:1013541473
Name:STARLING, MARY MORGAN (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:MORGAN
Last Name:STARLING
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 ROSEBAY CT SW
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-5772
Mailing Address - Country:US
Mailing Address - Phone:910-471-5750
Mailing Address - Fax:
Practice Address - Street 1:9970 BEACH DR
Practice Address - Street 2:
Practice Address - City:CALABASH
Practice Address - State:NC
Practice Address - Zip Code:28467-2741
Practice Address - Country:US
Practice Address - Phone:910-471-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15584101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional