Healthcare Provider Details

I. General information

NPI: 1609084805
Provider Name (Legal Business Name): CHARLOTTE STOKER SMILEY M.S.ED., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9380 SW 72ND ST STE B120
MIAMI FL
33173-5456
US

IV. Provider business mailing address

9979 SW 52ND AVE
CORAL GABLES FL
33156-3403
US

V. Phone/Fax

Practice location:
  • Phone: 305-807-3430
  • Fax:
Mailing address:
  • Phone: 305-666-1443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT1898
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: