| Marion Counseling Services Inc | |
|
719 1st St Se Moultrie GA 31768-5509 | |
| (229) 225-8296 | |
| Not Available |
| Full Name | Marion Counseling Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 719 1st St Se, Moultrie, Georgia |
| Authorized Official Name and Position | Benajah P Marion (OWNER) |
| Authorized Official Contact | 2292258296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Counseling Services Inc 719 1st St Se Moultrie GA 31768-5509 Ph: (229) 225-8296 | Marion Counseling Services Inc 719 1st St Se Moultrie GA 31768-5509 Ph: (229) 225-8296 |
| NPI Number | 1811648462 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 1951797885 |
|---|---|
| Medicare Enrollment ID | O20220401001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811648462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Benajah Pierce Marion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295187581 PECOS PAC ID: 8022159599 Enrollment ID: I20180214002167 |
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