Neville, Timothy Brian

Neville, Timothy Brian is an sole proprietor health care provider with primary practice located at 138 Park Ave Suite 214, Winder GA 30680-2118. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Neville, Timothy Brian can be contacted via phone (678) 425-9007.

Contact Information

Primary practice address
138 Park Ave Suite 214 Winder GA 30680-2118
Phone: (678) 425-9007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC006641 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC006641 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC006641 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006641 Georgia

Profile Details

NPI number 1750644068
LBN Legal business name Neville, Timothy Brian
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2012
Last updated Mar 26th, 2013 - about 11 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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