MEDICARE: MELISSA ANN 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
1	101Y00000X	Counselor		SD

General Provider Information

NPI Number	:	1942130497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANN SMITH

Provider Business Mailing Address
First Line	:	3409 W 47TH ST STE 102
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-6339
Country	:	US
Telephone Number	:	605-593-4075
Fax Number	:	605-401-4086

Provider Business Practice Location Address
First Line	:	3409 W 47TH ST STE 102
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-6339
Country	:	US
Telephone Number	:	605-593-4075
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ MELISSA ANN SMITH ” Practice Location

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