Smith, Todd S

Smith, Todd S is an individual health care provider with primary practice located at 1003 Martin Luther King Dr , Bloomington IL 61701-1429. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Todd S can be contacted via phone (309) 820-3500.

Contact Information

Primary practice address
1003 Martin Luther King Dr Bloomington IL 61701-1429
Phone: (309) 820-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.001468 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-001468 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.001468 Illinois

Profile Details

NPI number 1679607584
LBN Legal business name Smith, Todd S
Credentials MS, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Nov 13th, 2023 - about 2 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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