Smith, Scott Alan
Smith, Scott Alan is an individual health care provider with primary practice located at 1000 N 1St St Suite 1, Albemarle NC 28001-2833. 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 / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smith, Scott Alan can be contacted via phone (704) 983-2117.Contact Information
Primary practice address
1000 N 1St St Suite 1
Albemarle NC 28001-2833
Phone: (704) 983-2117
Fax: (704) 983-2636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16227 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 9795 | North Carolina |
Profile Details
| NPI number | 1205189958 |
|---|---|
| LBN Legal business name | Smith, Scott Alan |
| Credentials | M.A., LPC, LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2012 |
| Last updated | May 5th, 2017 - about 9 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 | 1205189958 | NPPES |
| North Carolina | Other | 1205189958 | MAGELLAN |
| North Carolina | Other | 1205189958 | MAGELLAN |
| North Carolina | MEDICAID | 1205189958 | MAGELLAN |
| North Carolina | Other | 1205189958 | MAGELLAN |
| North Carolina | Other | 1205189958 | MAGELLAN |
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