Healthcare Provider Details

I. General information

NPI: 1801231584
Provider Name (Legal Business Name): EVA SMEJKAL-SMITH MS, LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2013
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8815 PROMENADE NORTH PL
SAN DIEGO CA
92123-6455
US

IV. Provider business mailing address

8815 PROMENADE NORTH PL
SAN DIEGO CA
92123-6455
US

V. Phone/Fax

Practice location:
  • Phone: 713-703-2708
  • Fax:
Mailing address:
  • Phone: 713-703-2708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number66126
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number103056
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number201456
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: