Healthcare Provider Details

I. General information

NPI: 1952358210
Provider Name (Legal Business Name): MARLENE YOUNG HUBBELL LPC, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 MALLOY ST UNIT E
GOLDSBORO NC
27534-4478
US

IV. Provider business mailing address

208 MALLOY ST UNIT E
GOLDSBORO NC
27534-4478
US

V. Phone/Fax

Practice location:
  • Phone: 919-778-5594
  • Fax: 919-778-5633
Mailing address:
  • Phone: 919-778-5594
  • Fax: 919-778-5633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number361
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number607
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: