MEDICARE: MRS. JUDY ANN SMITH

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588959423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDY ANN SMITH

Provider Business Mailing Address
First Line	:	133 HILTON AVE NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-6827
Country	:	US
Telephone Number	:	321-914-3629
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 HILTON AVE NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-6827
Country	:	US
Telephone Number	:	321-914-3629
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2011
Last Update Date	:	06/17/2011

Similar Medicare Providers

1437553344 — MR. TERRY LANE GATEWOOD L.C.S.W
Practice Location Address:

2962 SEARCHLIGHT LN
PALM SPRINGS, CA
92264-6827

Practice Phone: 323-217-8600
Practice Fax: 760-406-4045

1912876475 — PREM PATEL
Practice Location Address:

6827 DATE PALM DR
KATY, TX
77493-5660

Practice Phone: 346-347-0000
Practice Fax:

1568452803 — MONIQUE L GORE LCSW
Practice Location Address:

3158 EATON RD
GREEN BAY, WI
54311-6827

Practice Phone: 920-770-3319
Practice Fax: 920-600-0271

1033264338 — DR. JOHANNA LYDIA SULLIVAN PHARM.D.
Practice Location Address:

3921 W BAY TO BAY BLVD
TAMPA, FL
33629-6827

Practice Phone: 813-205-5838
Practice Fax:

1871117317 — MRS. CADI SIERKO
Practice Location Address:

1624 COLUMBUS AVE
BAY CITY, MI
48708-6827

Practice Phone: 989-890-8099
Practice Fax:

1104698760 — SOLUTION FOCUSED COUNSELING LLC
Practice Location Address:

3158 EATON RD
GREEN BAY, WI
54311-6827

Practice Phone: 920-770-3319
Practice Fax: 920-600-0271

Directions to “ MRS. JUDY ANN SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.