Organization Name: | DAVID ALAN TIMM |
NPI Number: | 1174608020 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID ALAN TIMM (OWNER) |
Mailing Address: | 308 Highland Blvd Natchez |
State: | MS US |
Postal Code: | 391204611 |
Phone Number: | 6014427676 |
Fax Number: | 6014429590 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 01/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C5115 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |