Provider Demographics
NPI:1487996278
Name:STEELE, MARCUS (LCMHC)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:
Last Name:STEELE
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 HEALY DR STE 205
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1568
Mailing Address - Country:US
Mailing Address - Phone:336-793-7005
Mailing Address - Fax:336-999-8025
Practice Address - Street 1:8025 N POINT BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3262
Practice Address - Country:US
Practice Address - Phone:336-896-0065
Practice Address - Fax:336-896-0710
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9964101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional