MEDICARE: SMITH PSYCHOTHERAPY

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	:	1780926204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	715 N WASHINGTON BLVD
Second Line	:	SUITE E
City	:	SARASOTA
State	:	FL
Zip	:	34236-4256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 N WASHINGTON BLVD
Second Line	:	SUITE E
City	:	SARASOTA
State	:	FL
Zip	:	34236-4256
Country	:	US
Telephone Number	:	941-343-7244
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY D SMITH
Credential	:
Telephone Number	:	941-343-7244

Provider Enumeration Date	:	03/22/2013
Last Update Date	:	03/22/2013

Similar Medicare Providers

1760344550 — BRITTANY WENTZEL
Practice Location Address:

715 N WASHINGTON BLVD
SARASOTA, FL
34236-4256

Practice Phone: 941-256-3725
Practice Fax:

1689907529 — MRS. KIMBERLY SMITH BENSON LMHC
Practice Location Address:

715 NORTH WASHINGTON BLVD , SARASOTA
SARASOTA, FL
34236-4256

Practice Phone: 941-343-7244
Practice Fax:

1063754570 — BENSON CIOTTI WEST
Practice Location Address:

715 N WASHINGTON BLVD , SUITE E
SARASOTA, FL
34236-4256

Practice Phone: 941-343-7244
Practice Fax:

1588032353 — SHAUNA BISPHAM M.A., LMHC
Practice Location Address:

715 N WASHINGTON BLVD
SARASOTA, FL
34236-4256

Practice Phone: 941-404-5557
Practice Fax:

1871084822 — BISPHAM PSYCHOTHERAPY INC.
Practice Location Address:

715 N WASHINGTON BLVD STE A
SARASOTA, FL
34236-4256

Practice Phone: 941-404-5557
Practice Fax:

1841763844 — SIESTA ADDICTIONS SPECIALISTS
Practice Location Address:

715 N WASHINGTON BLVD STE E
SARASOTA, FL
34236-4256

Practice Phone: 941-343-7244
Practice Fax:

Directions to “SMITH PSYCHOTHERAPY ” 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 © 2007-2025 (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.