Provider Demographics
NPI:1063849404
Name:WORBOYS, MARYDALE MORGAN (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:MARYDALE
Middle Name:MORGAN
Last Name:WORBOYS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 MORGAN COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-8342
Mailing Address - Country:US
Mailing Address - Phone:336-629-9589
Mailing Address - Fax:
Practice Address - Street 1:1130 S CHURCH ST STE C
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6745
Practice Address - Country:US
Practice Address - Phone:336-629-9589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional