Doctor Name: | AMBRAYA TIMMONS |
NPI Number: | 1750692547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, P-LCSW |
License Number: | P005692 |
Business Practice Address: | 318 N Main St Troy, NC - 273713018 |
Business Phone Number: | 9105761188 |
Business Fax Number: | |
Mailing Address: | 207 Green St, BISCOE |
State: | NC |
Postal Code: | 272099587 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/25/2010 |
NPI Last Update Date: | 06/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | P005692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |