Evans, Timothy Craig
Evans, Timothy Craig is an sole proprietor health care provider with primary practice located at 1221 W Whitehall Rd , State College PA 16801-2627. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Evans, Timothy Craig can be contacted via phone (972) 757-4673.Contact Information
Primary practice address
1221 W Whitehall Rd
State College PA 16801-2627
Phone: (972) 757-4673
Fax: (814) 237-2777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 000708 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC002386 | Pennsylvania |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7252 | Pennsylvania |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2217 | Texas |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 10310 | Texas |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 23423 | Texas |
Profile Details
| NPI number | 1275644056 |
|---|---|
| LBN Legal business name | Evans, Timothy Craig |
| Credentials | LPC,CAADAC, MAC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275644056 | NPPES |
| Texas | Other | 2052LC | BCBS PROVIDER # |
| Texas | Other | 8Z1238 | BCBS PROVIDER # |
| Texas | Other | 82600L | BCBS PROVIDER # |
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