Severson, Mary Ann
Severson, Mary Ann is an individual health care provider with primary practice located at 430 Woodruff Rd Ste 450 , Greenville SC 29607-3443. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Severson, Mary Ann can be contacted via phone (864) 400-5130.Contact Information
Primary practice address
430 Woodruff Rd Ste 450
Greenville SC 29607-3443
Phone: (864) 400-5130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMHC39004878A | Iowa |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC9136 | South Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMHC7711 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH7711 | Florida |
Profile Details
| NPI number | 1629123450 |
|---|---|
| LBN Legal business name | Severson, Mary Ann |
| Credentials | LPC, LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Apr 2nd, 2024 - about 2 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 | 1629123450 | NPPES |
| Florida | Other | Z050L | BCBS FL |
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