Provider Demographics
NPI:1518626068
Name:CAIRNEY, MARLENE (LPC)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:CAIRNEY
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:PO BOX 60969
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31420-0969
Mailing Address - Country:US
Mailing Address - Phone:912-691-5711
Mailing Address - Fax:
Practice Address - Street 1:7 E CONGRESS ST STE 1000C
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-3396
Practice Address - Country:US
Practice Address - Phone:912-349-8043
Practice Address - Fax:912-988-1204
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty