Shults, Mary L.
Shults, Mary L. is an individual health care provider with primary practice located at 2094 Woodruff Rd , Greenville SC 29607-5939. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Shults, Mary L. can be contacted via phone (864) 676-9211.Contact Information
Primary practice address
2094 Woodruff Rd
Greenville SC 29607-5939
Phone: (864) 676-9211
Fax: (864) 676-9432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1451 | South Carolina |
Profile Details
| NPI number | 1306884630 |
|---|---|
| LBN Legal business name | Shults, Mary L. |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Oct 11th, 2007 - about 17 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 | 1306884630 | NPPES |
| South Carolina | Other | 1451 | SC LIC # |
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