MEDICARE: MARLEY NICOLE NEVERTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6851118156	MI

General Provider Information

NPI Number	:	1033060694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEY NICOLE NEVERTH

Provider Business Mailing Address
First Line	:	7978 S LUCAS RD
Second Line	:
City	:	MC BAIN
State	:	MI
Zip	:	49657-9528
Country	:	US
Telephone Number	:	231-667-4999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1354 BALDWIN ST STE 106
Second Line	:
City	:	JENISON
State	:	MI
Zip	:	49428-8937
Country	:	US
Telephone Number	:	616-315-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ MARLEY NICOLE NEVERTH ” Practice Location

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