Provider Demographics
NPI:1548418254
Name:MARSHALL MEDIATION & CONSULTANT, INC.
Entity Type:Organization
Organization Name:MARSHALL MEDIATION & CONSULTANT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDIATOR/CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:LAMARRIA
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-554-4942
Mailing Address - Street 1:1601 SPALDING CIR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-8302
Mailing Address - Country:US
Mailing Address - Phone:850-554-4942
Mailing Address - Fax:
Practice Address - Street 1:293 PLANTATION HILL RD
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4861
Practice Address - Country:US
Practice Address - Phone:850-554-4942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management