Smyth, Kyle James

Smyth, Kyle James is an individual health care provider with primary practice located at 7766 Highway 65 Ne , Spring Lake Park MN 55432-2832. 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 / Mental Health is his primary health care specialty. Smyth, Kyle James can be contacted via phone (763) 205-4843.

Contact Information

Primary practice address
7766 Highway 65 Ne Spring Lake Park MN 55432-2832
Phone: (763) 205-4843
Fax: (612) 416-2085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305110 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4377 Minnesota

Profile Details

NPI number 1568934776
LBN Legal business name Smyth, Kyle James
Credentials LPCC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2018
Last updated Apr 25th, 2024 - about last year

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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