Fulp-Pye, Mary

Fulp-Pye, Mary is an sole proprietor health care provider with primary practice located at 3541 N Crossing Cir , Valdosta GA 31602-1019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fulp-Pye, Mary can be contacted via phone (229) 244-4200.

Contact Information

Primary practice address
3541 N Crossing Cir Valdosta GA 31602-1019
Fax: (229) 244-4995
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001211 Georgia

Profile Details

NPI number 1003816935
LBN Legal business name Fulp-Pye, Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Mar 25th, 2010 - about 16 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 1003816935 NPPES
Georgia MEDICAID 000974311B

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