Healthcare Provider Details

I. General information

NPI: 1851216212
Provider Name (Legal Business Name): MARCEY GORDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 SW 20TH PL
OCALA FL
34471-0867
US

IV. Provider business mailing address

PO BOX 5763
OCALA FL
34478-5763
US

V. Phone/Fax

Practice location:
  • Phone: 352-831-8090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: