MARLON WILLINGHAM NPI 1811555717

NPI Information

  • NPI: 1811555717
  • Provider Name: MARLON WILLINGHAM
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 6530 DAVIDSON ST APT B3
    COLUMBIA, SC
    ZIP 29209
  • Phone: (803) 962-9576

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NPI Details

Marlon Willingham is a counselor in Columbia, SC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Marlon Willingham NPI is 1811555717. 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:

6530 DAVIDSON ST APT B3
COLUMBIA, SC
ZIP 29209-731
Phone: (803) 962-9576

The enumeration date for this NPI number is 6/5/2019 and was last updated on 1/8/2025.

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
1101Y00000XCounselorYes

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
13335OTHERSOUTH CAROLINAMEDICARE
2421504MEDICAIDSOUTH CAROLINA

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: 3/30/2025

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