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NPI Code Detail

MEDICARE: DR. ROSALIND SHARELL SMITH LPC-S, PHD

MEDICARE: DR. ROSALIND SHARELL SMITH LPC-S, PHD
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
1251S00000XCommunity/Behavioral Health Agency66000TX
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)66000TX
3323P00000XPsychiatric Residential Treatment Facility
4253Z00000XIn Home Supportive Care Agency66000TX
5261QA0600XAdult Day Care Clinic/Center66000TX
6101YA0400XAddiction (Substance Use Disorder) Counselor66000TX
7171M00000XCase Manager/Care Coordinator66000TX
8261QM0850XAdult Mental Health Clinic/Center66000TX
9251B00000XCase Management Agency66000TX
10101YM0800XMental Health Counselor66000TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447576038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSALIND SHARELL SMITH LPC-S, PHD
Provider Business Mailing Address
First Line : 860 CAMILLA LAKE RD
Second Line :
City : COLDSPRING
State : TX
Zip : 77331-6000
Country : US
Telephone Number : 512-293-2526
Fax Number : 936-653-8178
Provider Business Practice Location Address
First Line : 860 CAMILLA LAKE RD
Second Line :
City : COLDSPRING
State : TX
Zip : 77331-6000
Country : US
Telephone Number : 512-293-2526
Fax Number : 366-539-1789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2010
Last Update Date : 12/01/2025

Similar Medicare Providers

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Practice Location Address:
860 CAMILLA LAKE RD
COLDSPRING, TX
77331-6000
Practice Phone: 512-293-2526
Practice Fax: 836-653-8178
1154816809 — NEXT STEP BEHAVIORAL HOUSTON
Practice Location Address:
860 CAMILLA LAKE RD
COLDSPRING, TX
77331-6000
Practice Phone: 512-293-2526
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1508639972 — SMITH LOGISTICS & TRANSPORTATION
Practice Location Address:
860 CAMILLA LAKE RD
COLDSPRING, TX
77331-6000
Practice Phone: 512-293-2526
Practice Fax: 936-653-8178
1245008838 — OUR HOUSE OF HOPE 2
Practice Location Address:
860 CAMILLA LAKE RD
COLDSPRING, TX
77331-6000
Practice Phone: 512-293-2526
Practice Fax: 936-653-8178
1568454304 — PHILIP ROBERT WISIACKAS MD
Practice Location Address:
110 HILL AVE
COLDSPRING, TX
77331-5406
Practice Phone: 936-653-4223
Practice Fax: 936-653-5042
1962439919 — BROOKSHIRE BROTHERS INC
Practice Location Address:
15100 HWY 150 W
COLDSPRING, TX
77331
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Practice Fax: 936-653-3286

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