O'Connell, Mary Anne
O'Connell, Mary Anne is an sole proprietor health care provider with primary practice located at 2901 Easrt Grand River Ave C/O Pam, Howell MI 48843. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. O'Connell, Mary Anne can be contacted via phone (517) 548-1537.Contact Information
Primary practice address
2901 Easrt Grand River Ave C/O Pam
Howell MI 48843
Phone: (517) 548-1537
Fax: (517) 548-9399
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6801085778 | Michigan |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6801085778 | Michigan |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801085778 | Michigan |
Profile Details
NPI number | 1023334794 |
---|---|
LBN Legal business name | O'Connell, Mary Anne |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 20th, 2010 |
Last updated | Apr 20th, 2010 - about 14 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 | 1023334794 | NPPES |
Michigan | Other | 6801085778 | MI STATE SOCIAL WORK LISCENSE |
Michigan | Other | SWL001523563 | MI STATE SOCIAL WORK LISCENSE |
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