MEDICARE: RSMITH-COUNSELING, PLLC

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
1	1041C0700X	Clinical Social Worker
2	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1134606981	OTHER		NPI TYPE 2

General Provider Information

NPI Number	:	1134606981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RSMITH-COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	9530 ALABASTER OAKS LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-1962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	480 N SAM HOUSTON PKWY E STE 308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3586
Country	:	US
Telephone Number	:	281-850-9336
Fax Number	:	281-858-2328

Authorized Official
Title or Position	:	OWNER
Name	:	RODERICK J SMITH
Credential	:	MA, LPC-S
Telephone Number	:	281-858-3974

Provider Enumeration Date	:	07/24/2018
Last Update Date	:	02/06/2025

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