Healthcare Provider Details

I. General information

NPI: 1811814205
Provider Name (Legal Business Name): DONITA MARIE SMITH-FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 E 10TH ST SUITE J
INDIANAPOLIS IN
46201-2485
US

IV. Provider business mailing address

2650 DOCTOR MARTIN LUTHER KING JR DRIVE #88868
INDIANAPOLIS IN
46208
US

V. Phone/Fax

Practice location:
  • Phone: 317-516-8585
  • Fax:
Mailing address:
  • Phone: 317-516-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: