Moriarty, Mary K
Moriarty, Mary K is an individual health care provider with primary practice located at 4825 Highway 55 Suite 144, Golden Valley MN 55422-5147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moriarty, Mary K can be contacted via phone (763) 546-6718.Contact Information
Primary practice address
4825 Highway 55 Suite 144
Golden Valley MN 55422-5147
Phone: (763) 546-6718
Fax: (763) 546-6725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 357 | Minnesota |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 56 | Minnesota |
Profile Details
| NPI number | 1669461901 |
|---|---|
| LBN Legal business name | Moriarty, Mary K |
| Credentials | LICSW, MFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669461901 | NPPES |
| Minnesota | Other | 57B24MO | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 6220253 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 87726 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 106507 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | N009275 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 0004274510 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 40037 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 57B23MO | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 099373 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 54340 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 2815870 | BLUECROSS INDIVIDUAL |
| Minnesota | Other | 33967 | BLUECROSS INDIVIDUAL |
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