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
Phone: (910) 692-2444
Fax: (910) 692-3651
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205904166 | NPPES |
| North Carolina | MEDICAID | 6103172 |
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