Smith, Alice
Smith, Alice is an individual health care provider with primary practice located at 123 Pike St , Port Jervis NY 12771-1824. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Alice can be contacted via phone (845) 856-7576.Contact Information
Primary practice address
123 Pike St
Port Jervis NY 12771-1824
Phone: (845) 856-7576
Fax: (845) 856-8231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000429 | New York |
Profile Details
| NPI number | 1689129694 |
|---|---|
| LBN Legal business name | Smith, Alice |
| Credentials | LMHC, CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2016 |
| Last updated | Aug 19th, 2016 - about 8 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 | 1689129694 | NPPES |
| New York | Other | 12588 | NYS OASAS |
| New York | Other | 000429 | NYS OASAS |
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