Wyatt, Mary Ann
Wyatt, Mary Ann is an sole proprietor health care provider with primary practice located at 1030 Kingshighway St Ste A , Rolla MO 65401-2930. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wyatt, Mary Ann can be contacted via phone (816) 425-2833.Contact Information
Primary practice address
1030 Kingshighway St Ste A
Rolla MO 65401-2930
Phone: (816) 425-2833
Fax: (816) 425-2908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2012036248 | Missouri |
Profile Details
| NPI number | 1710252333 |
|---|---|
| LBN Legal business name | Wyatt, Mary Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2012 |
| Last updated | Feb 6th, 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 | 1710252333 | NPPES |
| Missouri | MEDICAID | 1710252333 |
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