Smith, Larry
Smith, Larry is an sole proprietor health care provider with primary practice located at 5015 S Ih 35 Ste 200 , Austin TX 78744-2714. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smith, Larry can be contacted via phone (512) 472-4357.Contact Information
Primary practice address
5015 S Ih 35 Ste 200
Austin TX 78744-2714
Phone: (512) 472-4357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 79707 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14113 | Texas |
Profile Details
| NPI number | 1871076299 |
|---|---|
| LBN Legal business name | Smith, Larry |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2018 |
| Last updated | Dec 31st, 2019 - about 7 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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