Wilson, Timothy
Wilson, Timothy is an sole proprietor health care provider with primary practice located at 1047 Vista Park Dr Ste A , Forest VA 24551-4362. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilson, Timothy can be contacted via phone (434) 616-2388.Contact Information
Primary practice address
1047 Vista Park Dr Ste A
Forest VA 24551-4362
Phone: (434) 616-2388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0704012471 | Virginia |
Profile Details
| NPI number | 1497340244 |
|---|---|
| LBN Legal business name | Wilson, Timothy |
| Credentials | MA, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2021 |
| Last updated | Mar 3rd, 2021 - about 4 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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