Smylie, Kristine Alice
Smylie, Kristine Alice is an sole proprietor health care provider with primary practice located at 22761 Pacific Coast Hwy #232, Malibu CA 90265-5098. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Smylie, Kristine Alice can be contacted via phone (310) 463-3870.Contact Information
Primary practice address
22761 Pacific Coast Hwy #232
Malibu CA 90265-5098
Phone: (310) 463-3870
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | MFC28222 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC28222 | California |
Profile Details
NPI number | 1174790968 |
---|---|
LBN Legal business name | Smylie, Kristine Alice |
Credentials | MA, MA, MFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 12th, 2008 |
Last updated | May 12th, 2008 - about 17 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 | 1174790968 | NPPES |
California | Other | 550010001050 | UNITED BEHAVIOR HEALTH |
California | Other | 550010001050 | UNITED BEHAVIOR HEALTH |
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