Healthcare Provider Details

I. General information

NPI: 1134672538
Provider Name (Legal Business Name): VERA NAKEYA SMITH M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30826 LINDER RD
DENHAM SPRINGS LA
70726
US

IV. Provider business mailing address

1187 ELVIN DR
BATON ROUGE LA
70810-8716
US

V. Phone/Fax

Practice location:
  • Phone: 225-665-7878
  • Fax:
Mailing address:
  • Phone: 225-371-5086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: