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NPI Code Detail

MEDICARE: MS. SHERRY V SMELLEY MSW, LCSW

MEDICARE: MS. SHERRY V SMELLEY MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLCSW#3060LA

General Provider Information

NPI Number : 1033187380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERRY V SMELLEY MSW, LCSW
Provider Business Mailing Address
First Line : 7341 JEFFERSON HWY
Second Line : SUITE E
City : BATON ROUGE
State : LA
Zip : 70806-8203
Country : US
Telephone Number : 225-924-7055
Fax Number : 225-924-7055
Provider Business Practice Location Address
First Line : 7341 JEFFERSON HWY
Second Line : SUITE E
City : BATON ROUGE
State : LA
Zip : 70806-8203
Country : US
Telephone Number : 225-924-7055
Fax Number : 225-924-7055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2006
Last Update Date : 07/08/2007

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