Organization Name: | KAYE MAYNARD COUNSELING INC |
NPI Number: | 1770890576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAYE E MAYNARD (CLINICAL SOCIAL WORKER) |
Mailing Address: | 7257 E. Broad St. Sw, Unit C Pataskala |
State: | OH US |
Postal Code: | 430620292 |
Phone Number: | 7409632976 |
Fax Number: | 7409270461 |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I. 1000063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |