Cooper, Thomas Alan
Cooper, Thomas Alan is an sole proprietor health care provider with primary practice located at 5800 49Th Ave N Ste S-102, Kenneth City FL 33709-3563. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cooper, Thomas Alan can be contacted via phone (727) 644-3563.Contact Information
Primary practice address
5800 49Th Ave N Ste S-102
Kenneth City FL 33709-3563
Phone: (727) 644-3563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4452 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 11062 | Florida |
Profile Details
| NPI number | 1285951889 |
|---|---|
| LBN Legal business name | Cooper, Thomas Alan |
| Credentials | MBA, MS, LMHC, CAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2010 |
| Last updated | Jan 18th, 2012 - about 14 years 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.
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