Sargent, Timothy Alan

Sargent, Timothy Alan is an sole proprietor health care provider with primary practice located at 54 E State St , Montpelier VT 05602-3012. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Sargent, Timothy Alan can be contacted via phone (802) 229-2611.

Contact Information

Primary practice address
54 E State St Montpelier VT 05602-3012
Fax: (802) 229-2611
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000033 Vermont

Profile Details

NPI number 1215090394
LBN Legal business name Sargent, Timothy Alan
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
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 1215090394 NPPES
Vermont MEDICAID 1006727

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