O'Keeffe, Mary Kathleen

O'Keeffe, Mary Kathleen is an sole proprietor health care provider with primary practice located at 1570 Waverly Rd , Kingsport TN 37664-2523. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. O'Keeffe, Mary Kathleen can be contacted via phone (423) 224-1300.

Contact Information

Primary practice address
1570 Waverly Rd Kingsport TN 37664-2523
Phone: (423) 224-1300
Fax: (423) 467-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMT223 Tennessee

Profile Details

NPI number 1356372007
LBN Legal business name O'Keeffe, Mary Kathleen
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jul 1st, 2015 - about 11 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 1356372007 NPPES
Tennessee MEDICAID 5441098
Tennessee MEDICAID 444006

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