Provider Demographics
NPI:1235837956
Name:MARQUEE HEALTH SERVICES
Entity type:Organization
Organization Name:MARQUEE HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWADAMILARE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHONEYE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:302-499-4100
Mailing Address - Street 1:1 PLEASANT PL
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3005
Mailing Address - Country:US
Mailing Address - Phone:302-499-4100
Mailing Address - Fax:916-330-3218
Practice Address - Street 1:1 PLEASANT PL
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3005
Practice Address - Country:US
Practice Address - Phone:302-499-4100
Practice Address - Fax:916-330-3218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2024-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health