Austin, Thomas Glenn
Austin, Thomas Glenn is an individual health care provider with primary practice located at 5601 Executive Center Dr Suite 101, Charlotte NC 28212-8841. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Austin, Thomas Glenn can be contacted via phone (704) 561-0920.Contact Information
Primary practice address
5601 Executive Center Dr Suite 101
Charlotte NC 28212-8841
Phone: (704) 561-0920
Fax: (704) 561-0851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1181 | North Carolina |
Profile Details
| NPI number | 1184672198 |
|---|---|
| LBN Legal business name | Austin, Thomas Glenn |
| Credentials | CSAC, CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184672198 | NPPES |
| North Carolina | MEDICAID | 6110525 |
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