Simbarcelos, Mary L.

Simbarcelos, Mary L. is an sole proprietor health care provider with primary practice located at 431 W. Pine St. , Pinedale WY 82941. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Simbarcelos, Mary L. can be contacted via phone (402) 525-7509.

Contact Information

Primary practice address
431 W. Pine St. Pinedale WY 82941
Phone: (402) 525-7509
Fax: (307) 367-2864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 405 Nebraska
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 1799 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1381 Wyoming

Profile Details

NPI number 1497053144
LBN Legal business name Simbarcelos, Mary L.
Credentials MS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2011
Last updated Jan 26th, 2018 - about 6 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 1497053144 NPPES
Nebraska Other 710765000 MAGELLAN
Nebraska MEDICAID 10025915300 MAGELLAN

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