Smith, Sylvester R.
Smith, Sylvester R. is an sole proprietor health care provider with primary practice located at 803 Taylor Ave , High Point NC 27260-7369. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Sylvester R. can be contacted via phone (336) 689-3444.Contact Information
Primary practice address
803 Taylor Ave
High Point NC 27260-7369
Phone: (336) 689-3444
Fax: (336) 886-1421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8977 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 00112424 | North Carolina |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 00112424 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8977 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 20131 | North Carolina |
Profile Details
| NPI number | 1063641397 |
|---|---|
| LBN Legal business name | Smith, Sylvester R. |
| Credentials | MSRC; LPC, CRC, LCAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2009 |
| Last updated | Mar 10th, 2017 - about 7 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 | 1063641397 | NPPES |
| North Carolina | Other | 6115154 | NORTH CAROLINA HEALTH CHOICE |
| North Carolina | MEDICAID | 6115154 | NORTH CAROLINA HEALTH CHOICE |
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