Boatwright, Mary Lynn

Boatwright, Mary Lynn is an sole proprietor health care provider with primary practice located at 2401 Termini St Suite C, Dickinson TX 77539-4995. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Boatwright, Mary Lynn can be contacted via phone (409) 938-4814.

Contact Information

Primary practice address
2401 Termini St Suite C Dickinson TX 77539-4995
Phone: (409) 938-4814
Fax: (409) 938-4849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 004982-041969 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16477 Texas

Profile Details

NPI number 1407969975
LBN Legal business name Boatwright, Mary Lynn
Credentials LPC; LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Dec 1st, 2011 - about 14 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 1407969975 NPPES
Texas MEDICAID 15611020-3

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