Healthcare Provider Details
I. General information
NPI: 1811810492
Provider Name (Legal Business Name): SHENANDOAH SMITH, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 W MISSION ST STE 4
SANTA BARBARA CA
93101-0401
US
IV. Provider business mailing address
30 W MISSION ST STE 4
SANTA BARBARA CA
93101-0401
US
V. Phone/Fax
- Phone: 805-284-1149
- Fax:
- Phone: 805-284-1149
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SHENANDOAH
SMITH
Title or Position: CEO
Credential: LMFT
Phone: 805-284-1149