Provider Demographics
NPI:1326243056
Name:MARLEY WOLFE COUNSELING SERVICES
Entity Type:Organization
Organization Name:MARLEY WOLFE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLEY
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC MED
Authorized Official - Phone:864-360-4287
Mailing Address - Street 1:213 E BUTLER RD
Mailing Address - Street 2:SUITE E-2
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2171
Mailing Address - Country:US
Mailing Address - Phone:864-360-4287
Mailing Address - Fax:864-248-6298
Practice Address - Street 1:213 E BUTLER RD
Practice Address - Street 2:SUITE E-2
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2171
Practice Address - Country:US
Practice Address - Phone:864-360-4287
Practice Address - Fax:864-248-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty