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NPI Code Detail

MEDICARE: LEESHA VENECIA SMITH MHC-LP

MEDICARE: LEESHA VENECIA SMITH MHC-LP
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 CounselorP130856NY

General Provider Information

NPI Number : 1982487591
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEESHA VENECIA SMITH MHC-LP
Provider Business Mailing Address
First Line : 3075 BRIGHTON 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-5580
Country : US
Telephone Number : 718-513-8388
Fax Number :
Provider Business Practice Location Address
First Line : 1623 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1209
Country : US
Telephone Number : 929-273-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2023
Last Update Date : 03/17/2026

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Directions to “ LEESHA VENECIA SMITH MHC-LP” Practice Location

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