Mabone, Martha

Mabone, Martha is an individual health care provider with primary practice located at 5810 Shelby Oaks Dr , Memphis TN 38134-7315. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mabone, Martha can be contacted via phone (901) 648-9354.

Contact Information

Primary practice address
5810 Shelby Oaks Dr Memphis TN 38134-7315
Phone: (901) 648-9354
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1821742313
LBN Legal business name Mabone, Martha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2022
Last updated Feb 4th, 2022 - about 2 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 1821742313 NPPES
Tennessee MEDICAID 87433703

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