Smith, Brian
Smith, Brian is an sole proprietor health care provider with primary practice located at 440 W Pennwood St Ste 100 , Meridian ID 83642-8612. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Smith, Brian can be contacted via phone (208) 888-5905.Contact Information
Primary practice address
440 W Pennwood St Ste 100
Meridian ID 83642-8612
Phone: (208) 888-5905
Fax: (208) 888-5513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-5600 | Idaho |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-6635 | Idaho |
Profile Details
| NPI number | 1114335478 |
|---|---|
| LBN Legal business name | Smith, Brian |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2014 |
| Last updated | Jan 19th, 2023 - 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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