Healthcare Provider Details

I. General information

NPI: 1689461329
Provider Name (Legal Business Name): MARIGOLD COUNSELING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 CIRCLE RD
MANHATTAN KS
66502-1912
US

IV. Provider business mailing address

500 LEAVENWORTH ST # 1902
MANHATTAN KS
66502-5925
US

V. Phone/Fax

Practice location:
  • Phone: 917-349-9017
  • Fax:
Mailing address:
  • Phone: 785-553-9566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AIMEE MORIN
Title or Position: OWNER
Credential: LCSW
Phone: 785-553-9566