Marigold Behavioral Health, Pllc. | |
18 Court Sq Lexington NC 27292-3351 | |
(336) 247-2871 | |
Not Available |
Full Name | Marigold Behavioral Health, Pllc. |
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Speciality | Counselor |
Location | 18 Court Sq, Lexington, North Carolina |
Authorized Official Name and Position | Samantha Perry (OWNER, CLINICAL COUNSELOR) |
Authorized Official Contact | 3362472871 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marigold Behavioral Health, Pllc. 18 Court Sq Lexington NC 27292-3351 Ph: (336) 247-2871 | Marigold Behavioral Health, Pllc. 18 Court Sq Lexington NC 27292-3351 Ph: (336) 247-2871 |
NPI Number | 1356189104 |
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Provider Enumeration Date | 07/16/2024 |
Last Update Date | 07/16/2024 |
Certification Date | 07/16/2024 |
Medicare PECOS PAC ID | 2769923812 |
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Medicare Enrollment ID | O20240917002857 |
Identifier | Type | State | Issuer |
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1356189104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Samantha C Perry |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225763303 PECOS PAC ID: 2365983418 Enrollment ID: I20240917003161 |
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