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GARY LYNN MARSHALL LCASA
NPI 1093247546
Counselor - Addiction (Substance Use Disorder) in Statesville, NC

Active since April 03, 2017
518 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 873-1114(704) 873-9917 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary Lynn Marshall Lcasa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY LYNN MARSHALL LCASA (NPI 1093247546) is an individual addiction (substance use disorder) provider in Statesville, North Carolina, licensed in North Carolina (22508) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1093247546
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGARY LYNN MARSHALLCredential: LCASA
Location Address518 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4391
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 873-1114
Fax(704) 873-9917
Sole ProprietorNo
Enumeration DateApril 3, 2017
Last NPPES UpdateFebruary 22, 2018
✔ NPI 1093247546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 22508
518 SIGNAL HILL DRIVE EXT, Statesville, NC 28625
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Other Identifiers 1

Medicaid1093247546NC

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAYMARK RECOVERY SERVICES INC
Family Medicine
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114
DAVID ALEXANDER JAMSKY POLLACK MACMHC, LPCA, NCC
Counselor (Professional)
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114
MR. JAMES R DOBSON CPSS-V CADC
Counselor (Addiction (Substance Use Disorder))
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (336) 413-2711
DAYMARK RECOVERY SERVICES INC
Community/Behavioral Health
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114
LISA MICHELLE JOHNSON LCSWA
Social Worker (Clinical)
518 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
Iredell County (704) 873-1114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Marshall's NPI number?

The NPI number for Gary Marshall is 1093247546. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Gary Marshall located?

Gary Marshall practices at 518 Signal Hill Drive Ext, Statesville, NC 28625. The listed phone number is (704) 873-1114.

What is Gary Marshall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Marshall was last updated on February 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.