MEDICARE: DONNICA 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1639067184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNICA SMITH QMHS

Provider Business Mailing Address
First Line	:	1475 PARKBROOK DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1837
Country	:	US
Telephone Number	:	937-422-0249
Fax Number	:

Provider Business Practice Location Address
First Line	:	7813 N DIXIE DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-2719
Country	:	US
Telephone Number	:	937-422-0249
Fax Number	:

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

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/25/2025

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Directions to “ DONNICA SMITH QMHS” Practice Location

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