Hyatt, Mary Beth
Hyatt, Mary Beth is an sole proprietor health care provider with primary practice located at 107 W Frederick St , Gaffney SC 29340-2427. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hyatt, Mary Beth can be contacted via phone (864) 649-5123.Contact Information
Primary practice address
107 W Frederick St
Gaffney SC 29340-2427
Phone: (864) 649-5123
Fax: (864) 515-4403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 8383 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8383 | South Carolina |
Profile Details
| NPI number | 1134210958 |
|---|---|
| LBN Legal business name | Hyatt, Mary Beth |
| Credentials | LISW-CP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 18th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134210958 | NPPES |
| South Carolina | MEDICAID | W79245SC1 |
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