MEDICARE: JOSHUA MARCENGILL

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	10823	SC

General Provider Information

NPI Number	:	1952256166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MARCENGILL

Provider Business Mailing Address
First Line	:	4251 S RHETT AVE UNIT 6103
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-6912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 E MONTAGUE AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-4716
Country	:	US
Telephone Number	:	803-753-1594
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ JOSHUA MARCENGILL ” Practice Location

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