Provider Demographics
NPI:1205941739
Name:HANDY, MARY ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARY ANN
Middle Name:
Last Name:HANDY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 S GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6845
Mailing Address - Country:US
Mailing Address - Phone:956-975-1447
Mailing Address - Fax:956-973-2489
Practice Address - Street 1:817 S GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6845
Practice Address - Country:US
Practice Address - Phone:956-975-1447
Practice Address - Fax:956-973-2489
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16454101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6001LCOtherBCBS PROVIDER #