Healthcare Provider Details
I. General information
NPI: 1700514924
Provider Name (Legal Business Name): D E SMITH CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2022
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 LAFAYETTE ST STE. 152
GRETNA LA
70053
US
IV. Provider business mailing address
2440 PARK PLACE DR
GRETNA LA
70056-3046
US
V. Phone/Fax
- Phone: 504-259-0208
- Fax: 504-309-7845
- Phone: 504-228-3793
- Fax: 504-391-2360
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
D'ANA
SMITH
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 504-228-3793