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General NPI Number Information
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NPI Number | 1306173737
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Entity Type | Individual
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Provider Name | ENRICA T SMITH LMFT/LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1500 ENVOY CIR STE 1520
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City | LOUISVILLE
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State | KY
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Zip | 40299-2898
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Country | US
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Telephone | 502-200-4992
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 664
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City | HILLVIEW
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State | KY
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Zip | 40129-0664
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Country | US
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Telephone | 502-200-4992
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Fax | 888-972-4081
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0839
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001941A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204109
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 105238
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 252697
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License Number State | KY
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