MEDICARE: MARY BAUMMIER MS, LMHC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH15189	FL

General Provider Information

NPI Number	:	1831629427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BAUMMIER MS, LMHC, NCC

Provider Business Mailing Address
First Line	:	4359 DAFFODIL CIR N
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5413
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 US HIGHWAY 1 STE 5
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3857
Country	:	US
Telephone Number	:	561-404-0082
Fax Number	:	561-404-0082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	03/17/2018

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