Porter, Mary Lynn

Porter, Mary Lynn is an sole proprietor health care provider with primary practice located at 101 Southwestern Boulevard Suite 113, Sugar Land TX 77478. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Porter, Mary Lynn can be contacted via phone (713) 306-2738.

Contact Information

Primary practice address
101 Southwestern Boulevard Suite 113 Sugar Land TX 77478
Phone: (713) 306-2738
Fax: (281) 242-0111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 06462 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000871 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 002372 Texas

Profile Details

NPI number 1710057724
LBN Legal business name Porter, Mary Lynn
Credentials LCSW, LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Dec 31st, 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 1710057724 NPPES
Texas Other 484035 VALUE OPTIONS ID #
Texas Other 86409Q VALUE OPTIONS ID #

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