Mary Kay Booth is a Mental Health in Olean, New York. Mary Kay Booth practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Kay Booth is 1801937826. The last update date is 2023-03-10.
Mary Kay Booth's current location address is 118 Brookview Avenue, Olean, New York. You can contact this provider via phone number 5853751398. The mailing address for Mary Kay Booth is 118 Brookview Avenue, Olean, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kay Booth |
|---|---|
| Address | 118 Brookview Avenue, Olean, New York |
| Phone Number | 5853751398 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | BA, CASAC, |
NPI Number Detail
| NPI Number | 1801937826 |
|---|---|
| Provider Enumeration Date | 2007-02-11 |
| Last Updated Date | 2023-03-10 |
Provider Mailing Address Detail
| Address | 118 Brookview Avenue |
|---|---|
| City | Olean |
| State | New York (NY) |
| Post Code | 14760 |
| Phone Number | 5853751398 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1771 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 635070 | NY | -- | |
| 20-8258921 | NY | EMPLOYER IDENTIFICATION # |
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What is the unique identification code assigned to Mary Kay Booth by the Centers for Medicare & Medicaid Services?
The Mary Kay Booth has been issued the NPI (National Provider Identifier) 1801937826. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary Kay Booth's facilities are situated?
The facilities of Mary Kay Booth are physically located at the following address: 118 Brookview Avenue, Olean, NY, 14760.
What is Mary Kay Booth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Kay Booth's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Mary Kay Booth receive the assignment of its 1801937826 from the Centers for Medicare & Medicaid Services?
The Mary Kay Booth was issued its 1801937826 by the Centers for Medicare & Medicaid Services on 2007-02-11.
As of what date were the Mary Kay Booth's details last updated?
The information pertaining to the Mary Kay Booth, including its address, specialty, and other details, was most recently updated on 2023-03-10.