Thomas, Garry Scott
Thomas, Garry Scott is an sole proprietor health care provider with primary practice located at 510 S Saint Francis Dr , Santa Fe NM 87501-3057. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Thomas, Garry Scott can be contacted via phone (505) 986-6181.Contact Information
Primary practice address
510 S Saint Francis Dr
Santa Fe NM 87501-3057
Phone: (505) 986-6181
Fax: (505) 986-6181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | NM 4015 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-04556 | New Mexico |
Profile Details
| NPI number | 1063518637 |
|---|---|
| LBN Legal business name | Thomas, Garry Scott |
| Credentials | PH.D., LISW, LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 19th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063518637 | NPPES |
| New Mexico | Other | NM101176 VNM00095 | VALUE OPTIONS |
| New Mexico | Other | 273042 UBS | VALUE OPTIONS |
| New Mexico | Other | 95266 | VALUE OPTIONS |
| New Mexico | Other | 201047679 | VALUE OPTIONS |
| New Mexico | Other | 00JL16 | VALUE OPTIONS |
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