Provider Demographics
NPI:1811539455
Name:PERKINS-MUHAMMAD, MARION JEANNELLE (LMFT)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:JEANNELLE
Last Name:PERKINS-MUHAMMAD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8187 COPPERAS HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-8935
Mailing Address - Country:US
Mailing Address - Phone:843-730-2617
Mailing Address - Fax:
Practice Address - Street 1:8187 COPPERAS HILL DR
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-8935
Practice Address - Country:US
Practice Address - Phone:843-872-6411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6988106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist