| Marigold Behavioral Health, Pllc. | |
|
18 Court Sq Lexington NC 27292-3351 | |
| (336) 247-2871 | |
| Not Available |
| Full Name | Marigold Behavioral Health, Pllc. |
|---|---|
| Speciality | Counselor |
| Location | 18 Court Sq, Lexington, North Carolina |
| Authorized Official Name and Position | Samantha Perry (OWNER, CLINICAL COUNSELOR) |
| Authorized Official Contact | 3362472871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marigold Behavioral Health, Pllc. 18 Court Sq Lexington NC 27292-3351 Ph: (336) 247-2871 | Marigold Behavioral Health, Pllc. 18 Court Sq Lexington NC 27292-3351 Ph: (336) 247-2871 |
| NPI Number | 1356189104 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 2769923812 |
|---|---|
| Medicare Enrollment ID | O20240917002857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356189104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Samantha C Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225763303 PECOS PAC ID: 2365983418 Enrollment ID: I20240917003161 |
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