MEDICARE: SMITH & ASSOCIATES COUNSELING PLLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1982451944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH & ASSOCIATES COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1015 S 4TH ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40203-3207
Country	:	US
Telephone Number	:	502-907-2408
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 S 4TH ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40203-3207
Country	:	US
Telephone Number	:	502-907-2408
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	NINA SMITH
Credential	:	LMFT
Telephone Number	:	502-907-2408

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	01/27/2025

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