Healthcare Provider Details

I. General information

NPI: 1639837883
Provider Name (Legal Business Name): ALEAH CI'MONE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4899 WESTBANK EXPY
MARRERO LA
70072-3037
US

IV. Provider business mailing address

88 LAKE ELIZABETH CT
HARVEY LA
70058-6512
US

V. Phone/Fax

Practice location:
  • Phone: 504-285-3388
  • Fax:
Mailing address:
  • Phone: 504-390-1188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: