Healthcare Provider Details

I. General information

NPI: 1013849769
Provider Name (Legal Business Name): TAMELA SMITH PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SOUTH WALNUT ST. SUITE #2
ARNOLD NE
69120
US

IV. Provider business mailing address

27244 N SMITH RD
ARNOLD NE
69120-9401
US

V. Phone/Fax

Practice location:
  • Phone: 308-252-3659
  • Fax:
Mailing address:
  • Phone: 308-627-1963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14915
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: