Barksdale, Mary Louise
Barksdale, Mary Louise is an sole proprietor health care provider with primary practice located at 357 Towne Center Blvd Suite 402, Ridgeland MS 39157-4837. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Barksdale, Mary Louise can be contacted via phone (601) 952-0515.Contact Information
Primary practice address
357 Towne Center Blvd Suite 402
Ridgeland MS 39157-4837
Phone: (601) 952-0515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 0520 | Mississippi |
Profile Details
| NPI number | 1538295761 |
|---|---|
| LBN Legal business name | Barksdale, Mary Louise |
| Credentials | MCP, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538295761 | NPPES |
| Mississippi | Other | MS LPC 0620 | GROUP NUMBER |
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