Smith, Tonya Hall

Smith, Tonya Hall is an sole proprietor health care provider with primary practice located at 1905B Mission 66 Ste 4D , Vicksburg MS 39180-3711. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Tonya Hall can be contacted via phone (601) 831-3304.

Contact Information

Primary practice address
1905B Mission 66 Ste 4D Vicksburg MS 39180-3711
Phone: (601) 831-3304
Fax: (601) 456-4212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3869 Louisiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0253 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 1249 Mississippi

Profile Details

NPI number 1073866513
LBN Legal business name Smith, Tonya Hall
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2012
Last updated Oct 8th, 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 1073866513 NPPES
Mississippi MEDICAID 08574217

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