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NPI Code Detail

MEDICARE: ASHLEY SMITH

MEDICARE:   ASHLEY  SMITH
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 Counselor85433TX

General Provider Information

NPI Number : 1568130896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SMITH
Provider Business Mailing Address
First Line : 18790 LLOYD DR APT 213
Second Line :
City : DALLAS
State : TX
Zip : 75252-2603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5301 ALPHA RD STE 80
Second Line :
City : DALLAS
State : TX
Zip : 75240-4393
Country : US
Telephone Number : 214-433-6433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/02/2021

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Directions to “ ASHLEY SMITH ” Practice Location

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