Durham, Mary Ellen
Durham, Mary Ellen is an individual health care provider with primary practice located at 12850 Hillcrest Rd Suite F-206, Dallas TX 75230-1529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Durham, Mary Ellen can be contacted via phone (972) 404-8253.Contact Information
Primary practice address
12850 Hillcrest Rd Suite F-206
Dallas TX 75230-1529
Phone: (972) 404-8253
Fax: (972) 701-0874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2443 | Texas |
Profile Details
| NPI number | 1972599033 |
|---|---|
| LBN Legal business name | Durham, Mary Ellen |
| Credentials | ACSW, LMSW-ACP, LCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Sep 29th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972599033 | NPPES |
| Texas | Other | 86514Q | BCBS |
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