King, Mary

King, Mary is an sole proprietor health care provider with primary practice located at 6308 Snow Ridge Ct , Arlington TX 76018-3160. She recently has 8 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. King, Mary can be contacted via phone (817) 648-9298.

Contact Information

Primary practice address
6308 Snow Ridge Ct Arlington TX 76018-3160
Phone: (817) 648-9298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 71646 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 71646 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 71646 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 71646 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 71646 Texas
Behavioral Health & Social Service Providers / School 101YS0200X 71646 Texas
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 71646 Texas

Profile Details

NPI number 1063719904
LBN Legal business name King, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2011
Last updated Mar 23rd, 2016 - about 9 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 1063719904 NPPES
Texas MEDICAID 352705301
Texas Other 840LQB
Texas MEDICAID 352705302

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