Healthcare Provider Details

I. General information

NPI: 1629056098
Provider Name (Legal Business Name): MARION PERRY LCDP LMHC LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARION PERRY

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W US HIGHWAY 64
MURPHY NC
28906-8115
US

IV. Provider business mailing address

146 ANOKA ST
BARRINGTON RI
02806
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-0071
  • Fax:
Mailing address:
  • Phone: 508-336-1113
  • Fax: 508-336-3402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCDP00058
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4204
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00067
License Number StateRI
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10135
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: