MEDICARE: THERAPYSMITH, MARRIAGE AND FAMILY THERAPY INCORPORATED

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1548975220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPYSMITH, MARRIAGE AND FAMILY THERAPY INCORPORATED

Provider Business Mailing Address
First Line	:	420 S BEVERLY DR # 100-17B
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-4426
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 S BEVERLY DR # 100-17B
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-4426
Country	:	US
Telephone Number	:	323-943-1978
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KATHERINE WILSON SMITH
Credential	:	PSYD, LMFT
Telephone Number	:	323-943-1978

Provider Enumeration Date	:	01/17/2023
Last Update Date	:	03/10/2026

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