Logan, Mariah Lyn

Logan, Mariah Lyn is an individual health care provider with primary practice located at 11500 Olive Blvd Ste 176 , Creve Coeur MO 63141-7147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Logan, Mariah Lyn can be contacted via phone (618) 972-1568.

Contact Information

Primary practice address
11500 Olive Blvd Ste 176 Creve Coeur MO 63141-7147
Phone: (618) 972-1568
Fax: (618) 205-3561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2023048395 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.014691 Illinois

Profile Details

NPI number 1306474549
LBN Legal business name Logan, Mariah Lyn
Credentials LPC,LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Mar 15th, 2024 - about last year

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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