Flint, Mark Wesley

Flint, Mark Wesley is an individual health care provider with primary practice located at 115 N 7Th St Ste 6 , Spearfish SD 57783-2710. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Flint, Mark Wesley can be contacted via phone (605) 645-0100.

Contact Information

Primary practice address
115 N 7Th St Ste 6 Spearfish SD 57783-2710
Fax: (605) 717-1009
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-MH30811 South Dakota

Profile Details

NPI number 1790494169
LBN Legal business name Flint, Mark Wesley
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2022
Last updated Mar 7th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790494169 NPPES
South Dakota MEDICAID 3005995

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