Healthcare Provider Details

I. General information

NPI: 1649499286
Provider Name (Legal Business Name): STORMY ALEXANDRIA SMOLENY PH.D., LMHC, NCPSYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 SW 87TH AVE SUITE 106
MIAMI FL
33176-2319
US

IV. Provider business mailing address

19500 SW 129TH AVE
MIAMI FL
33177-4237
US

V. Phone/Fax

Practice location:
  • Phone: 305-412-9885
  • Fax: 305-253-1107
Mailing address:
  • Phone: 305-238-6235
  • Fax: 305-253-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH1448
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number0005951
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: