Mota, Mariann

Mota, Mariann is an individual health care provider with primary practice located at 201 22Nd St , Ashland KY 41101. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mota, Mariann can be contacted via phone (606) 324-1141.

Contact Information

Primary practice address
201 22Nd St Ashland KY 41101
Fax: (606) 325-8606
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 166225 Kentucky

Profile Details

NPI number 1932200078
LBN Legal business name Mota, Mariann
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 13th, 2018 - about 7 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 1932200078 NPPES
Kentucky MEDICAID 30610026
Kentucky Other 000000559688 NONPAR
Kentucky Other 11754983

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