Provider Demographics
NPI:1275267825
Name:PLUMLEY, MARY TINSLEY (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:TINSLEY
Last Name:PLUMLEY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 MAUPIN AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-6322
Mailing Address - Country:US
Mailing Address - Phone:704-654-5925
Mailing Address - Fax:
Practice Address - Street 1:130 WOODSON ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3256
Practice Address - Country:US
Practice Address - Phone:704-639-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC226999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health