Lagrone, Tobias Everett

Lagrone, Tobias Everett is an sole proprietor health care provider with primary practice located at 480 Mount Cross Rd , Danville VA 24540-4000. He recently has 3 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 / Pastoral. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Lagrone, Tobias Everett can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
480 Mount Cross Rd Danville VA 24540-4000
Phone: (833) 510-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000435 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2594 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1962756866
LBN Legal business name Lagrone, Tobias Everett
Credentials D.MIN., LCAS, PAST.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2012
Last updated Aug 11th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962756866 NPPES
North Carolina MEDICAID 6112383

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