Mcgillivray Smith, Brenda
Mcgillivray Smith, Brenda is an sole proprietor health care provider with primary practice located at 250 Old Mill Ln , Broadway VA 22815-2754. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mcgillivray Smith, Brenda can be contacted via phone (540) 901-9000.Contact Information
Primary practice address
250 Old Mill Ln
Broadway VA 22815-2754
Phone: (540) 901-9000
Fax: (540) 901-9000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000424 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002606 | Virginia |
Profile Details
| NPI number | 1750345310 |
|---|---|
| LBN Legal business name | Mcgillivray Smith, Brenda |
| Credentials | LPC LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Sep 9th, 2022 - about 2 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 | 1750345310 | NPPES |
| Virginia | MEDICAID | 005408806 |
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