1689782450 NPI number — MARY V NAPLES MUIR LPCC, LICDC

Table of content: MARY V NAPLES MUIR LPCC, LICDC (NPI 1689782450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689782450 NPI number — MARY V NAPLES MUIR LPCC, LICDC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAPLES MUIR
Provider First Name:
MARY
Provider Middle Name:
V
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPCC, LICDC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MUIR
Provider Other First Name:
GIGI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPCC, LICDC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1689782450
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 CLEVELAND AVE NW
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
CANTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44702-1700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-454-7066
Provider Business Mailing Address Fax Number:
330-454-9427

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 CLEVELAND AVE NW
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44702-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-454-7066
Provider Business Practice Location Address Fax Number:
330-454-9427
Provider Enumeration Date:
08/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  E2294 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com