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
Phone: (828) 627-9254
Fax: (828) 627-8811
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104951763 | NPPES |
North Carolina | MEDICAID | 6102842 |
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