Dean, Mary James

Dean, Mary James is an sole proprietor health care provider with primary practice located at 140 Hampton Way , Carrollton GA 30116. 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 / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Dean, Mary James can be contacted via phone (678) 438-7058.

Contact Information

Primary practice address
140 Hampton Way Carrollton GA 30116
Phone: (678) 438-7058
Fax: (678) 664-2173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000985 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CERTIFICATION #1767R Georgia

Profile Details

NPI number 1841335270
LBN Legal business name Dean, Mary James
Credentials D.MIN, M.A., LMFT, C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jan 15th, 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 1841335270 NPPES
Georgia MEDICAID 246920824A

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