Doctor Name: | MR. TIMOTHY BRIAN NEVILLE |
NPI Number: | 1750644068 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | LPC006641 |
Business Practice Address: | 138 Park Ave Suite 214 Winder, GA - 306802118 |
Business Phone Number: | 6784259007 |
Business Fax Number: | |
Mailing Address: | 138 Park Ave, Suite 214 WINDER |
State: | GA |
Postal Code: | 306802118 |
Phone Number: | 6784259007 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2012 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC006641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |