Provider Demographics
NPI:1477913341
Name:MARSHALL COUNSELING ASSOCIATES,LLC
Entity Type:Organization
Organization Name:MARSHALL COUNSELING ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:III
Authorized Official - Credentials:LPC
Authorized Official - Phone:251-342-7066
Mailing Address - Street 1:605 BEL AIR BLVD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3528
Mailing Address - Country:US
Mailing Address - Phone:251-342-7066
Mailing Address - Fax:251-342-0152
Practice Address - Street 1:605 BEL AIR BLVD
Practice Address - Street 2:SUITE 24
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3528
Practice Address - Country:US
Practice Address - Phone:251-342-7066
Practice Address - Fax:251-342-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty