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NPI Code Detail

MEDICARE: MELISSA BETH SMART LPC

MEDICARE: MELISSA BETH SMART LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LPC.0015747OTHERCOLPC

General Provider Information

NPI Number : 1003121765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BETH SMART LPC
Provider Business Mailing Address
First Line : 1330 INVERNESS DR STE 400
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3739
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1330 INVERNESS DR STE 400
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3739
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2010
Last Update Date : 10/12/2023

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Directions to “ MELISSA BETH SMART LPC” Practice Location

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