Smith, Jennifer Broadway
Smith, Jennifer Broadway is an sole proprietor health care provider with primary practice located at 264 Greensboro Street Ext , Lexington NC 27295-1969. 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, Jennifer Broadway can be contacted via phone (336) 236-7347.Contact Information
Primary practice address
264 Greensboro Street Ext
Lexington NC 27295-1969
Phone: (336) 236-7347
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | A10089 | North Carolina |
Profile Details
| NPI number | 1891133716 |
|---|---|
| LBN Legal business name | Smith, Jennifer Broadway |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2013 |
| Last updated | Jul 12th, 2017 - 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 | 1891133716 | NPPES |
| North Carolina | Other | 101YMO800X | MENTAL HEALTH |
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