Oglesby, Mary Jane

Oglesby, Mary Jane is an individual health care provider with primary practice located at 715 N Lake Ave , Lakeland FL 33801-1908. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Oglesby, Mary Jane can be contacted via phone (863) 413-2566.

Contact Information

Primary practice address
715 N Lake Ave Lakeland FL 33801-1908
Phone: (863) 413-2566
Fax: (863) 582-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7721 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 3106 Florida

Profile Details

NPI number 1821052788
LBN Legal business name Oglesby, Mary Jane
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 21st, 2013 - 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 1821052788 NPPES
Florida MEDICAID 767270500

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