MEDICARE: SEANNA SMITH QMHS

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	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1477396042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEANNA SMITH QMHS

Provider Business Mailing Address
First Line	:	321 W 5TH ST
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-2849
Country	:	US
Telephone Number	:	330-385-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	12515 STEUBENVILLE PIKE
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-9709
Country	:	US
Telephone Number	:	330-692-2429
Fax Number	:

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

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	06/13/2024

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Directions to “ SEANNA SMITH QMHS” Practice Location

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