Mary Elizabeth Edwards Dba White Pine Therapies

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARY ELIZABETH EDWARDS DBA WHITE PINE THERAPIES

Practice address

7037 Plumb Rd
Galena, OH 43021-9443

Phone

(614) 364-6206

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Elizabeth Edwards

Title

Ceo

Phone

(614) 364-6206

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1346400041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 AMBROSIA AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355556",
            "telephone_number": "614-364-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7037 PLUMB RD",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430219443",
            "telephone_number": "614-364-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH EDWARDS DBA WHITE PINE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-364-6206"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2534298",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Frances Mason, M.S., SLP-CCC
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• Mid-Ohio Medical, LLC
• Sarah Elizabeth Mooney, LSW

• Community/Behavioral Health Agency in Galena, OH
• Providers in Galena, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.