Azar, Mary Reed
Azar, Mary Reed is an individual health care provider with primary practice located at 1627 Henthorne Dr Ste C , Maumee OH 43537-1370. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Azar, Mary Reed can be contacted via phone (419) 491-0420.Contact Information
Primary practice address
1627 Henthorne Dr Ste C
Maumee OH 43537-1370
Phone: (419) 491-0420
Fax: (567) 698-7875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | S.2202505-TRNE | Ohio |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1912631029 |
---|---|
LBN Legal business name | Azar, Mary Reed |
Credentials | SWT, QMHS-3 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2022 |
Last updated | May 1st, 2024 - about last year |
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 | 1912631029 | NPPES |
Ohio | MEDICAID | 0496080 |
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