| Marlon Bynum, | |
|
126 N Main St, Warrenton, NC 27589-1922 | |
| (252) 879-0091 | |
| Not Available |
| Full Name | Marlon Bynum |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 126 N Main St, Warrenton, North Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013577881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Behavioral Health Services Pc | 5799929675 | 3 |
| Entity Name | Innovative Behavioral Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124367347 PECOS PAC ID: 5799929675 Enrollment ID: O20130913000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlon Bynum, 210 Orkney Rd, Stem, NC 27581-9131 Ph: (919) 824-4934 | Marlon Bynum, 126 N Main St, Warrenton, NC 27589-1922 Ph: (252) 879-0091 |
Keyanna Ivon Terry, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1932 Us Highway 401 S, Warrenton, NC 27589 Phone: 877-589-3969 Fax: 877-786-5369 | |
Shalonda Alston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 Gillis Alston Rd, Warrenton, NC 27589 Phone: 252-270-5001 | |
Philip Terry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1932 Us Highway 401 S, Warrenton, NC 27589 Phone: 919-886-6056 | |
Grace George, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1711 Alert Rd, Warrenton, NC 27589 Phone: 919-673-3548 | |
Ms. Sharon Butler Pair, MSW, LCSW, LCAS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 108 S Main St, Warrenton, NC 27589 Phone: 252-879-0075 |