Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY ELLEN THEODORE, LPC
Active Sole ProprietorMRS. MARY ELLEN THEODORE, LPC is a Mental Health Counselor healthcare provider located in MARYVILLE, Missouri. NPI 1699933630 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MARYVILLE, MO
Registration Details
- NPI Number
- 1699933630
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2008 (18.032637156314 yrs)
- Last Updated
- May 27, 2008
- Licenses
-
002394 (MO)002394 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
321 N MUNN AVEMARYVILLE, MO, 644682146Browse MO providers · Browse ZIP 64468
- Phone
- 6605823086
- Fax
- 6605823086
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Professional Counselor
Other Mental Health Counselor Providers in MARYVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| DIANE LYNN COURTNEY | PLPC | 1568190387 |
| COURTNEY KOCH | LPC, NCC | 1740061373 |
| HOLLY MARIE MCMILLEN | LPC | 1356190227 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.