Dailey, Timothy P.

Dailey, Timothy P. is an individual health care provider with primary practice located at 111 Sneed Dr , Clyde NC 28721-8468. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Dailey, Timothy P. can be contacted via phone (828) 627-9254.

Contact Information

Primary practice address
111 Sneed Dr Clyde NC 28721-8468
Fax: (828) 627-8811
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2919 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 2919 North Carolina

Profile Details

NPI number 1104951763
LBN Legal business name Dailey, Timothy P.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
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 1104951763 NPPES
North Carolina MEDICAID 6102842

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