Smetak, Kris Bryan

Smetak, Kris Bryan is an individual health care provider with primary practice located at 839 Majestic Ct Ste 6 , Gastonia NC 28054-5152. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smetak, Kris Bryan can be contacted via phone (704) 674-7290.

Contact Information

Primary practice address
839 Majestic Ct Ste 6 Gastonia NC 28054-5152
Phone: (704) 674-7290
Fax: (704) 396-6547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5347 North Carolina
Behavioral Health & Social Service Providers / School 101YS0200X 5347 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5347 North Carolina

Profile Details

NPI number 1326101429
LBN Legal business name Smetak, Kris Bryan
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 23rd, 2020 - about 4 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 1326101429 NPPES
North Carolina MEDICAID 6103254
North Carolina MEDICAID 8300014
North Carolina MEDICAID 6005887

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