Lascala, Mary Costello

Lascala, Mary Costello is an individual health care provider with primary practice located at 205 Sage Rd Suite 201, Chapel Hill NC 27514-6995. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lascala, Mary Costello can be contacted via phone (919) 942-4166.

Contact Information

Primary practice address
205 Sage Rd Suite 201 Chapel Hill NC 27514-6995
Phone: (919) 942-4166
Fax: (919) 942-8693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 677 North Carolina

Profile Details

NPI number 1780608208
LBN Legal business name Lascala, Mary Costello
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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Identifiers

StateTypeNumberIssuer
All States NPI 1780608208 NPPES
North Carolina Other 136AH BLUE CROSS BLUE SHIELD

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