Smith, George Timothy

Smith, George Timothy is an individual health care provider with primary practice located at 610 S College Rd , Wilmington NC 28403-3202. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Smith, George Timothy can be contacted via phone (910) 799-1071.

Contact Information

Primary practice address
610 S College Rd Wilmington NC 28403-3202
Phone: (910) 799-1071
Fax: (910) 799-3313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 898 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 898 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 898 North Carolina
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 898 North Carolina

Profile Details

NPI number 1467591321
LBN Legal business name Smith, George Timothy
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 10th, 2007 - about 19 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 1467591321 NPPES
North Carolina Other 198665 MEDCOST
North Carolina Other 198520 MEDCOST
North Carolina MEDICAID 6105105 MEDCOST

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