# MARY KAY WOOD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Kay Wood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689295560
- **Authorized official:** MARY KAY WOOD (OWNER)
- **Authorized official phone:** (402) 483-1344

## Contact information

- **Practice address:** 3611 LOWELL AVE, LINCOLN, NE 68506-4848
- **Practice address phone:** (402) 483-1344
- **Practice address fax:** (402) 477-8284
- **Mailing address:** 3611 LOWELL AVE, LINCOLN, NE 68506-4848
- **Mailing address phone:** (402) 483-1344
- **Mailing address fax:** (402) 477-8284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2020
- **Last updated:** 08/28/2020