MEDICARE: LESLIE MARCHUS LPC

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	101YP2500X	Professional Counselor	5926	TN

General Provider Information

NPI Number	:	1770092769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE MARCHUS LPC

Provider Business Mailing Address
First Line	:	207B HIGHWAY 641 N
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1329
Country	:	US
Telephone Number	:	731-213-2214
Fax Number	:

Provider Business Practice Location Address
First Line	:	207B HIGHWAY 641 N
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1329
Country	:	US
Telephone Number	:	731-213-2214
Fax Number	:

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

Provider Enumeration Date	:	09/22/2017
Last Update Date	:	12/18/2025

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