Evers, Mary Lee
Evers, Mary Lee is an individual health care provider with primary practice located at 2064 Nc Highway 125 , Roanoke Rapids NC 27870-9436. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evers, Mary Lee can be contacted via phone (252) 536-5000.Contact Information
Primary practice address
2064 Nc Highway 125
Roanoke Rapids NC 27870-9436
Phone: (252) 536-5000
Fax: (252) 536-2258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1410 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1410 | North Carolina |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 1410 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 1410 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1410 | North Carolina |
Profile Details
| NPI number | 1447469804 |
|---|---|
| LBN Legal business name | Evers, Mary Lee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Feb 7th, 2019 - about 5 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 | 1447469804 | NPPES |
| North Carolina | Other | 0345A | NC BCBS |
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