Wise, Mark Stephen

Wise, Mark Stephen is an sole proprietor health care provider with primary practice located at 2501 E Piedmont Rd Ste 202 , Marietta GA 30062-7758. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Wise, Mark Stephen can be contacted via phone (470) 435-1547.

Contact Information

Primary practice address
2501 E Piedmont Rd Ste 202 Marietta GA 30062-7758
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X LPC014257 Georgia

Profile Details

NPI number 1871360727
LBN Legal business name Wise, Mark Stephen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2023
Last updated Dec 11th, 2023 - about last year

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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