Kenworthy, Mary Katherine

Kenworthy, Mary Katherine is an individual health care provider with primary practice located at 4500 S Lancaster Rd Gold Team 116A, Dallas TX 75216-7167. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kenworthy, Mary Katherine can be contacted via phone (214) 742-8387.

Contact Information

Primary practice address
4500 S Lancaster Rd Gold Team 116A Dallas TX 75216-7167
Phone: (214) 742-8387
Fax: (214) 857-0789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 56270 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 56270 Texas

Profile Details

NPI number 1548506645
LBN Legal business name Kenworthy, Mary Katherine
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Dec 17th, 2012 - about 14 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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