Grant, Mae Marie
Grant, Mae Marie is an sole proprietor health care provider with primary practice located at 8717 White Ibis Dr , Austin TX 78729-8077. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Grant, Mae Marie can be contacted via phone (512) 695-6755.Contact Information
Primary practice address
8717 White Ibis Dr
Austin TX 78729-8077
Phone: (512) 695-6755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 1700516 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 82430 | Texas |
Profile Details
| NPI number | 1194460485 |
|---|---|
| LBN Legal business name | Grant, Mae Marie |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2022 |
| Last updated | May 1st, 2022 - about 4 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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