Provider Demographics
NPI:1306016076
Name:DARNELL, MARSHA WILLIAMS (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:WILLIAMS
Last Name:DARNELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 LELIA DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4832
Mailing Address - Country:US
Mailing Address - Phone:601-981-5678
Mailing Address - Fax:601-981-5996
Practice Address - Street 1:1640 LELIA DR
Practice Address - Street 2:SUITE 140
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4832
Practice Address - Country:US
Practice Address - Phone:601-981-5678
Practice Address - Fax:601-981-5996
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-09
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0778101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health