Austin, Thomas Glenn

Austin, Thomas Glenn is an individual health care provider with primary practice located at 5601 Executive Center Dr Suite 101, Charlotte NC 28212-8841. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Austin, Thomas Glenn can be contacted via phone (704) 561-0920.

Contact Information

Primary practice address
5601 Executive Center Dr Suite 101 Charlotte NC 28212-8841
Phone: (704) 561-0920
Fax: (704) 561-0851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1181 North Carolina

Profile Details

NPI number 1184672198
LBN Legal business name Austin, Thomas Glenn
Credentials CSAC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 2007 - about 17 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 1184672198 NPPES
North Carolina MEDICAID 6110525

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