Black, Mary Ellen

Black, Mary Ellen is an individual health care provider with primary practice located at 102 East Gambier Street , Mount Vernon OH 43050. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Black, Mary Ellen can be contacted via phone (740) 392-5416.

Contact Information

Primary practice address
102 East Gambier Street Mount Vernon OH 43050
Phone: (740) 392-5416
Fax: (740) 392-3742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0000717 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0000799 Ohio

Profile Details

NPI number 1669532107
LBN Legal business name Black, Mary Ellen
Credentials LISW LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 17 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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