National Provider Identifier
Mary Kay Booth, BA, CASAC, LMHC
Mary Kay Booth, BA, CASAC, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Olean, NY and a listed phone number of (585) 375-1398.
Profile Overview
- NPI
- 1801937826
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 11, 2007
- Last Updated
- March 10, 2023
Practice Location
- 118 Brookview Avenue
- Olean, NY 14760
Phone: (585) 375-1398
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1801937826
- Entity Type
- Individual
- Last Name
- Booth
- First Name
- Mary
- Middle Name
- Kay
- Name Prefix
- MS.
- Credential
- BA, CASAC, LMHC
- Mailing Street Address
- 118 Brookview Avenue
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760
- Mailing Country
- US
- Mailing Phone
- (585) 375-1398
- Practice Street Address
- 118 Brookview Avenue
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760
- Practice Country
- US
- Practice Phone
- (585) 375-1398
- Enumeration Date
- February 11, 2007
- Last Updated
- March 10, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 00635070 (NY), 20-8258921 (NY, Employer Identification #)