Smith, Larry J
Smith, Larry J is an sole proprietor health care provider with primary practice located at 114 N Saint Clair Abrams Ave , Tavares FL 32778-3258. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, Larry J can be contacted via phone (407) 617-8699.Contact Information
Primary practice address
114 N Saint Clair Abrams Ave
Tavares FL 32778-3258
Phone: (407) 617-8699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CAP 3110 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW10114 | Florida |
Profile Details
| NPI number | 1952690232 |
|---|---|
| LBN Legal business name | Smith, Larry J |
| Credentials | LCSW CAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2011 |
| Last updated | Apr 7th, 2011 - about 14 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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