Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary Ellen Theodore, LPC

Individual provider Mental Health Counselor · NPI 1699933630

Mrs. Mary Ellen Theodore, LPC is a Mental Health Counselor in Maryville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

321 N Munn Ave
Maryville, MO 64468-2146
Phone: (660) 582-3086
Fax: (660) 582-3086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 002394 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 002394 (MO)

Record details

NPI number1699933630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 27, 2008
Last updated in NPPESMay 27, 2008

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