Wylie, Hart Katherine

Wylie, Hart Katherine is an sole proprietor health care provider with primary practice located at 1855 Lakeland Dr Suite P-121, Jackson MS 39216-4913. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wylie, Hart Katherine can be contacted via phone (601) 366-4696.

Contact Information

Primary practice address
1855 Lakeland Dr Suite P-121 Jackson MS 39216-4913
Phone: (601) 366-4696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1360 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0434 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R883581 Mississippi

Profile Details

NPI number 1053639088
LBN Legal business name Wylie, Hart Katherine
Credentials PMHNP, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2010
Last updated Sep 19th, 2012 - about 12 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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