Smith, Scott Louis
Smith, Scott Louis is an individual health care provider with primary practice located at 925 N Stapley Dr #A, Mesa AZ 85203-5637. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Scott Louis can be contacted via phone (480) 461-0795.Contact Information
Primary practice address
925 N Stapley Dr #A
Mesa AZ 85203-5637
Phone: (480) 461-0795
Fax: (480) 964-2323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC1224 | Arizona |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LISAC1224 | Arizona |
Profile Details
| NPI number | 1740280775 |
|---|---|
| LBN Legal business name | Smith, Scott Louis |
| Credentials | MA, LISAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Jul 8th, 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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