Gay, Mary H
Gay, Mary H is an individual health care provider with primary practice located at 2460 Potters Rd , Virginia Beach VA 23454-4322. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gay, Mary H can be contacted via phone (757) 456-1697.Contact Information
Primary practice address
2460 Potters Rd
Virginia Beach VA 23454-4322
Phone: (757) 456-1697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904002070 | Virginia |
Profile Details
| NPI number | 1497754113 |
|---|---|
| LBN Legal business name | Gay, Mary H |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Nov 25th, 2009 - about 15 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 | 1497754113 | NPPES |
| Virginia | Other | 003755 | VALUE OPTIONS |
| Virginia | Other | 132215 | VALUE OPTIONS |
| Virginia | Other | 3080747 | VALUE OPTIONS |
| Virginia | Other | O85422 | VALUE OPTIONS |
| Virginia | Other | 137760 | VALUE OPTIONS |
| Virginia | Other | 132215 | VALUE OPTIONS |
| Virginia | MEDICAID | 8901112 | VALUE OPTIONS |
| Virginia | Other | 208793000 | VALUE OPTIONS |
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