Allen, Marya

Allen, Marya is an individual health care provider with primary practice located at 1313 W Ferguson Ave , Blackwell OK 74631-5604. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Allen, Marya can be contacted via phone (580) 363-4400.

Contact Information

Primary practice address
1313 W Ferguson Ave Blackwell OK 74631-5604
Phone: (580) 363-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1237 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 728 Kansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10397 Oklahoma

Profile Details

NPI number 1992747968
LBN Legal business name Allen, Marya
Credentials LMLP, LMAC, LBP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 29th, 2021 - about 4 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 1992747968 NPPES
Kansas Other 389893 BLUE CROSS BLUE SHIELD
Kansas Other 12989 BLUE CROSS BLUE SHIELD

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