Weiss, Mary Elizabeth

Weiss, Mary Elizabeth is an individual health care provider with primary practice located at 2222 Colonial Rd Ste 100 , Fort Pierce FL 34950-5309. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Weiss, Mary Elizabeth can be contacted via phone (772) 489-4726.

Contact Information

Primary practice address
2222 Colonial Rd Ste 100 Fort Pierce FL 34950-5309
Phone: (772) 489-4726
Fax: (727) 489-0423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401010213 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14480 Florida

Profile Details

NPI number 1164642922
LBN Legal business name Weiss, Mary Elizabeth
Credentials MA, LMHC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Apr 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164642922 NPPES
Florida MEDICAID 020817400

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