Tero, Mary

Tero, Mary is an individual health care provider with primary practice located at 1777 Tamiami Trl Ste 201 , Port Charlotte FL 33948-1064. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tero, Mary can be contacted via phone (941) 249-4354.

Contact Information

Primary practice address
1777 Tamiami Trl Ste 201 Port Charlotte FL 33948-1064
Phone: (941) 249-4354
Fax: (941) 249-4356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5722 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH16554 Florida

Profile Details

NPI number 1063831840
LBN Legal business name Tero, Mary
Credentials CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2014
Last updated Jul 21st, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063831840 NPPES
Florida MEDICAID 101843200

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