Provider Demographics
NPI:1629474606
Name:PILOT, MARIANNE
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:PILOT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:PILOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPC, LCAS
Mailing Address - Street 1:711 E WHITAKER MILL RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2717
Mailing Address - Country:US
Mailing Address - Phone:919-594-7453
Mailing Address - Fax:
Practice Address - Street 1:146 WIND CHIME CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6433
Practice Address - Country:US
Practice Address - Phone:919-594-7453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC547101YA0400X
NC2947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)