Healthcare Provider Details

I. General information

NPI: 1609732197
Provider Name (Legal Business Name): MIA SKYE SMITH MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S JACKSON ST STE 505
DENVER CO
80209-3184
US

IV. Provider business mailing address

2525 WEWATTA WAY APT 254
DENVER CO
80216-3753
US

V. Phone/Fax

Practice location:
  • Phone: 866-232-7328
  • Fax:
Mailing address:
  • Phone: 702-475-1382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0024008
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: