Givens, Mary Bethany Kylene
Givens, Mary Bethany Kylene is an individual health care provider with primary practice located at 7717 N Orange Prairie Rd , Peoria IL 61615-9323. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Givens, Mary Bethany Kylene can be contacted via phone (330) 398-2367.Contact Information
Primary practice address
7717 N Orange Prairie Rd
Peoria IL 61615-9323
Phone: (330) 398-2367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.019981 | Illinois |
Profile Details
| NPI number | 1699149823 |
|---|---|
| LBN Legal business name | Givens, Mary Bethany Kylene |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2015 |
| Last updated | Jan 3rd, 2018 - about 8 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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