Provider Demographics
NPI:1467415141
Name:WOLFE, MARLEY JONES (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARLEY
Middle Name:JONES
Last Name:WOLFE
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 1:210 ANDERS AVE
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662
Mailing Address - Country:US
Mailing Address - Phone:864-360-4287
Mailing Address - Fax:864-248-6298
Practice Address - Street 1:213 EAST BUTLER ROAD
Practice Address - Street 2:E 2
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29662
Practice Address - Country:US
Practice Address - Phone:864-360-4287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2420103T00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional