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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1063719904 | NPPES |
| Texas | MEDICAID | 352705301 | |
| Texas | Other | 840LQB | |
| Texas | MEDICAID | 352705302 |
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