Evans, Mary
Evans, Mary is an sole proprietor health care provider with primary practice located at 1025 Executive Park Blvd , Kingsport TN 37660-4620. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Mary can be contacted via phone (423) 735-8124.Contact Information
Primary practice address
1025 Executive Park Blvd
Kingsport TN 37660-4620
Phone: (423) 735-8124
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904010726 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7160 | Tennessee |
Profile Details
| NPI number | 1477103661 |
|---|---|
| LBN Legal business name | Evans, Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2019 |
| Last updated | Jun 4th, 2020 - about 6 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.
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