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MR. MARCUS MICHAEL MARULLO MS, LAC, CCS, AADC
NPI 1558958975
Counselor - Addiction (Substance Use Disorder) in Breaux Bridge, LA

Active since December 31, 2020
648 LATIOLAIS DR, BREAUX BRIDGE, LA 70517(337) 332-4878(337) 332-4866 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Marcus Michael Marullo Ms, Lac, Ccs, Aadc NPPES

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

MR. MARCUS MICHAEL MARULLO MS, LAC, CCS, AADC (NPI 1558958975) is an individual addiction (substance use disorder) provider in Breaux Bridge, Louisiana, licensed in Louisiana (1014) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1558958975
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MARCUS MICHAEL MARULLOCredential: MS, LAC, CCS, AADC
Location Address648 LATIOLAIS DRBreaux Bridge, LA 70517-4231
Mailing Address648 Latiolais DrBreaux Bridge, LA 70517-4231 · (337) 332-4878 · Fax (337) 332-4866
Phone(337) 332-4878
Fax(337) 332-4866
Sole ProprietorNo
Enumeration DateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1558958975 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 LA · 1014
648 LATIOLAIS DR, Breaux Bridge, LA 70517
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Other Providers at the Same Location NPPES 7

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

BAYMARK HEALTH SERVICES OF LOUISIANA, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-4878
LAURA A TOWERS
Counselor (Addiction (Substance Use Disorder))
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 455-7934
MS. TANNIE ALEXANDER REGISTERED NURSE
Registered Nurse
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-4878
SHARELL KATELY
Licensed Practical Nurse
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-4878
MRS. DEAUNDRA THOMAS DAVIS RAC
Counselor (Addiction (Substance Use Disorder))
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-4878
CHRISTEN VILLADSEN
Counselor (Addiction (Substance Use Disorder))
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 455-7934
DAVID RYAN GROSS RAC
Counselor (Addiction (Substance Use Disorder))
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-4878

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 Marcus Marullo's NPI number?

The NPI number for Marcus Marullo is 1558958975. It was assigned to this individual provider in the NPPES registry on December 31, 2020.

Where is Marcus Marullo located?

Marcus Marullo practices at 648 Latiolais Dr, Breaux Bridge, LA 70517. The listed phone number is (337) 332-4878.

What is Marcus Marullo'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 Marcus Marullo was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.