Smith, Laurel A

Smith, Laurel A is an sole proprietor health care provider with primary practice located at 1106 Harris Ave Ste 308 , Bellingham WA 98225-7002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Laurel A can be contacted via phone (206) 617-0729.

Contact Information

Primary practice address
1106 Harris Ave Ste 308 Bellingham WA 98225-7002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004826 Washington

Profile Details

NPI number 1710966734
LBN Legal business name Smith, Laurel A
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Apr 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710966734 NPPES
North Carolina MEDICAID 6002655
North Carolina Other 1307X

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