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NPI Code Detail

MEDICARE: RONALD DAVID SMITH LPC ASSOCIATE

MEDICARE: RONALD DAVID SMITH LPC ASSOCIATE
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 Counselor99833TX

General Provider Information

NPI Number : 1225991052
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD DAVID SMITH LPC ASSOCIATE
Provider Business Mailing Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 972-454-0415
Fax Number :
Provider Business Practice Location Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 972-454-0415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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