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NPI Code Detail

MEDICARE: MRS. SHILAIN SMITH PH.D LPC

MEDICARE: MRS. SHILAIN SMITH PH.D 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
1101YM0800XMental Health Counselor5299GA
2101YM0800XMental Health Counselor5167SC
3101YP2500XProfessional Counselor6485LA
4101YM0800XMental Health Counselor79127TX

General Provider Information

NPI Number : 1831142256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHILAIN SMITH PH.D LPC
Provider Business Mailing Address
First Line : 20702 WILD SPRINGS DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-7411
Country : US
Telephone Number : 404-641-7750
Fax Number :
Provider Business Practice Location Address
First Line : 4201 MEDICAL DR STE 330
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5805
Country : US
Telephone Number : 210-614-4990
Fax Number : 210-614-4991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 01/03/2024

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