Reid, Timothy C
Reid, Timothy C is an sole proprietor health care provider with primary practice located at 4494 Popps Ferry Rd Ste C , Diberville MS 39540-2468. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reid, Timothy C can be contacted via phone (228) 273-5773.Contact Information
Primary practice address
4494 Popps Ferry Rd Ste C
Diberville MS 39540-2468
Phone: (228) 273-5773
Fax: (228) 331-0204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C7360 | Mississippi |
Profile Details
| NPI number | 1770775785 |
|---|---|
| LBN Legal business name | Reid, Timothy C |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Aug 31st, 2022 - about 3 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 | 1770775785 | NPPES |
| Mississippi | MEDICAID | 03981714 |
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