Healthcare Provider Details

I. General information

NPI: 1659285989
Provider Name (Legal Business Name): KATHERINE TURNER MARINO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25955 CAMDEN CT
ATHENS AL
35613-7754
US

IV. Provider business mailing address

25955 CAMDEN CT
ATHENS AL
35613-7754
US

V. Phone/Fax

Practice location:
  • Phone: 256-361-5259
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4050
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: