MR. SAMUEL R. MARSHALL LMHC NPI 1568437226

NPI Information

NPI: 1568437226
Provider Name: MR. SAMUEL R. MARSHALL, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
137 HOSPITAL DR.
FORT WALTON BEACH, FL
ZIP 32548
Phone: (850) 833-7400
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MR. Samuel R. Marshall, LMHC is a mental health counselor in Fort Walton Beach, FL. MR. Samuel R. Marshall, LMHC NPI is 1568437226. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

137 HOSPITAL DR.
FORT WALTON BEACH, FL
ZIP 32548-063
Phone: (850) 833-7400
Fax: (850) 833-7528

The enumeration date for this NPI number is 2/17/2006 and was last updated on 1/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH 5996	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	761863800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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