Provider Demographics
NPI:1811338809
Name:MAYO, MARYANN (GCSW)
Entity type:Individual
Prefix:MS
First Name:MARYANN
Middle Name:
Last Name:MAYO
Suffix:
Gender:F
Credentials:GCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 N FLORIDA MANGO RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6404
Mailing Address - Country:US
Mailing Address - Phone:561-623-0071
Mailing Address - Fax:561-296-5287
Practice Address - Street 1:2200 N FLORIDA MANGO RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6404
Practice Address - Country:US
Practice Address - Phone:561-623-0071
Practice Address - Fax:561-296-5287
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical