| Mary Connolly, Ma, Lpc, Ncc, Llc | |
|
76 14th St Wheeling WV 26003-3429 | |
| (715) 212-6993 | |
| Not Available |
| Full Name | Mary Connolly, Ma, Lpc, Ncc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 76 14th St, Wheeling, West Virginia |
| Authorized Official Name and Position | Mary Elizabeth Connolly (OWNER/MANAGER) |
| Authorized Official Contact | 7152126993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Connolly, Ma, Lpc, Ncc, Llc 724 Brady Ave Unit C Steubenville OH 43952-1487 Ph: (715) 212-6993 | Mary Connolly, Ma, Lpc, Ncc, Llc 76 14th St Wheeling WV 26003-3429 Ph: (715) 212-6993 |
| NPI Number | 1104698216 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 4981130861 |
|---|---|
| Medicare Enrollment ID | O20241216003239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104698216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Elizabeth Connolly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588318372 PECOS PAC ID: 0941657985 Enrollment ID: I20240105001558 |
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