Smith, Marilyn

Smith, Marilyn is an individual health care provider with primary practice located at 5192 Highway 11 N , Ellisville MS 39437-5050. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Marilyn can be contacted via phone (601) 425-3439.

Contact Information

Primary practice address
5192 Highway 11 N Ellisville MS 39437-5050
Fax: (601) 649-7939
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 588 Mississippi

Profile Details

NPI number 1265156533
LBN Legal business name Smith, Marilyn
Credentials CIDDT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2022
Last updated Sep 30th, 2022 - about 2 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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