Edens, Mary Beth

Edens, Mary Beth is an individual health care provider with primary practice located at 640 Holly Ave , Winston Salem NC 27101-2716. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Edens, Mary Beth can be contacted via phone (336) 725-3999.

Contact Information

Primary practice address
640 Holly Ave Winston Salem NC 27101-2716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4499 North Carolina
Behavioral Health & Social Service Providers / School 101YS0200X 4499 North Carolina

Profile Details

NPI number 1528072584
LBN Legal business name Edens, Mary Beth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 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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