Healthcare Provider Details

I. General information

NPI: 1497609093
Provider Name (Legal Business Name): MARQUETTE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5818 RUSTIC WOOD LANE
DURHAM NC
27713-9110
US

IV. Provider business mailing address

7151 OKELLY CHAPEL RD. PMB 103
CARY NC
27519-9436
US

V. Phone/Fax

Practice location:
  • Phone: 919-530-0200
  • Fax: 919-808-4307
Mailing address:
  • Phone: 919-530-0200
  • Fax: 919-808-4307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TINA EVELYN MARQUETTE
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCSW
Phone: 919-530-0200