Smith, Emily Todd

Smith, Emily Todd is an individual health care provider with primary practice located at 195 W Illinois Ave , Southern Pines NC 28387-5808. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Emily Todd can be contacted via phone (910) 692-2444.

Contact Information

Primary practice address
195 W Illinois Ave Southern Pines NC 28387-5808
Fax: (910) 692-3651
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S3674 North Carolina

Profile Details

NPI number 1205904166
LBN Legal business name Smith, Emily Todd
Credentials LCMHC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated May 13th, 2021 - about 5 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 1205904166 NPPES
North Carolina MEDICAID 6103172

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