Smith, Carroll Paul
Smith, Carroll Paul is an sole proprietor health care provider with primary practice located at 720 Avignon Dr Suite 3, Ridgeland MS 39157-5166. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Carroll Paul can be contacted via phone (601) 259-6714.Contact Information
Primary practice address
720 Avignon Dr Suite 3
Ridgeland MS 39157-5166
Phone: (601) 259-6714
Fax: (601) 605-2710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C0876 | Mississippi |
Profile Details
NPI number | 1013206606 |
---|---|
LBN Legal business name | Smith, Carroll Paul |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 4th, 2011 |
Last updated | Apr 4th, 2011 - about 14 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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