Smith, David
Smith, David is an sole proprietor health care provider with primary practice located at 611 S Wayne Ave , Waynesboro VA 22980-4837. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, David can be contacted via phone (256) 887-6055.Contact Information
Primary practice address
611 S Wayne Ave
Waynesboro VA 22980-4837
Phone: (256) 887-6055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2787 | Alabama |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701010001 | Virginia |
Profile Details
| NPI number | 1609099019 |
|---|---|
| LBN Legal business name | Smith, David |
| Credentials | M.S., LPC MHSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Feb 6th, 2024 - about last year |
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 | 1609099019 | NPPES |
| Alabama | MEDICAID | 330000014 |
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