MEDICARE: MELISSA K. SMITH MA

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
1	101YM0800X	Mental Health Counselor	NLC.0012358	CO
2	101YP2500X	Professional Counselor	LPC.0013198	CO

General Provider Information

NPI Number	:	1346683612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA K. SMITH MA

Provider Business Mailing Address
First Line	:	1223 28TH AVE STE 3B
Second Line	:
City	:	GREELEY
State	:	CO
Zip	:	80634-5469
Country	:	US
Telephone Number	:	970-515-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 W 29TH ST STE 100
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2459
Country	:	US
Telephone Number	:	970-775-7061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	01/12/2024

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Directions to “ MELISSA K. SMITH MA” Practice Location

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