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NPI Code Detail

MEDICARE: KATI SMITH LPC

MEDICARE: KATI SMITH LPC
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
1101YP2500XProfessional Counselor75378TX

General Provider Information

NPI Number : 1487145009
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATI SMITH LPC
Provider Business Mailing Address
First Line : 1715 SANTA FE DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-6419
Country : US
Telephone Number : 254-552-2005
Fax Number : 254-965-1350
Provider Business Practice Location Address
First Line : 1715 SANTA FE DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-6419
Country : US
Telephone Number : 817-599-7634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 04/09/2021

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Directions to “ KATI SMITH LPC” Practice Location

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