Provider Demographics
NPI:1437391182
Name:CIRULIS, MARILYN HULL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:HULL
Last Name:CIRULIS
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 1:917 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3958
Mailing Address - Country:US
Mailing Address - Phone:704-476-4085
Mailing Address - Fax:704-476-4021
Practice Address - Street 1:1801 EAST 5TH STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2472
Practice Address - Country:US
Practice Address - Phone:704-375-5354
Practice Address - Fax:704-375-3069
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC57101YP1600X
NC7486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional