Atlas, Marilyn S

Atlas, Marilyn S is an individual health care provider with primary practice located at 816-F Brawley School Road Suite 4, Mooresville NC 28117-6852. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Atlas, Marilyn S can be contacted via phone (704) 658-9676.

Contact Information

Primary practice address
816-F Brawley School Road Suite 4 Mooresville NC 28117-6852
Phone: (704) 658-9676
Fax: (704) 799-3257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C004741 North Carolina

Profile Details

NPI number 1336229442
LBN Legal business name Atlas, Marilyn S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 22nd, 2009 - about 15 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 1336229442 NPPES
North Carolina MEDICAID 6106455

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