Smith, Mary E.
Smith, Mary E. is an sole proprietor health care provider with primary practice located at 2100 East Chambers Street , Booneville MS 38829. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Mary E. can be contacted via phone (662) 728-3174.Contact Information
Primary practice address
2100 East Chambers Street
Booneville MS 38829
Phone: (662) 728-3174
Fax: (662) 286-8095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2590 | Mississippi |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1639355795 |
|---|---|
| LBN Legal business name | Smith, Mary E. |
| Credentials | CMHT, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2008 |
| Last updated | Jul 10th, 2020 - about 4 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 | 1639355795 | NPPES |
| Mississippi | Other | 2590 | DEPARTMENT OF MENTAL HEALTH OF MISSISSIPPI |
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