Smith, Charles V

Smith, Charles V is an sole proprietor health care provider with primary practice located at 417 4Th Ave Sw , Largo FL 33770-3413. 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 / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Charles V can be contacted via phone (727) 641-8939.

Contact Information

Primary practice address
417 4Th Ave Sw Largo FL 33770-3413
Phone: (727) 641-8939
Fax: (727) 585-9647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MAC507269 SAP13083 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8574 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2433 Florida

Profile Details

NPI number 1740313287
LBN Legal business name Smith, Charles V
Credentials LMHC, LMFT, CAP, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jun 21st, 2015 - about 11 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 1740313287 NPPES
Florida MEDICAID 000539300

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