O'Donnell, Mary

O'Donnell, Mary is an sole proprietor health care provider with primary practice located at 1865 Lime St Ste 100 , Fernandina Beach FL 32034-4779. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. O'Donnell, Mary can be contacted via phone (904) 321-8400.

Contact Information

Primary practice address
1865 Lime St Ste 100 Fernandina Beach FL 32034-4779
Phone: (904) 321-8400
Fax: (904) 321-8401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 11449 Florida

Profile Details

NPI number 1619089232
LBN Legal business name O'Donnell, Mary
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Aug 24th, 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 1619089232 NPPES
Maryland MEDICAID 252502000
Maryland Other 64228401

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