Smith, Thomas Byron

Smith, Thomas Byron is an individual health care provider with primary practice located at 1035 Cheraw St. , Bennettsville SC 29512. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Smith, Thomas Byron can be contacted via phone (843) 454-0442.

Contact Information

Primary practice address
1035 Cheraw St. Bennettsville SC 29512
Phone: (843) 454-0442
Fax: (843) 454-0212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X RC00050884 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1568642189
LBN Legal business name Smith, Thomas Byron
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2007
Last updated Dec 17th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568642189 NPPES
South Carolina MEDICAID 405127
South Carolina Other RC00050884

Popular Providers