Marilyn Smith, CIDDT in Ellisville, MS

Marilyn Smith, CIDDT is a Counselor - Mental Health based in Ellisville, Mississippi. Marilyn Smith is licensed to practice in Mississippi (license number 588) and her current practice location is 5192 Highway 11 N, Ellisville, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 425-3439.

NPI number for Marilyn Smith is 1265156533 and her current mailing address is Po Box 18679, Hattiesburg, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265156533.

Contact Information

	Marilyn Smith, CIDDT
	5192 Highway 11 N, Ellisville, MS 39437-5050
	(601) 425-3439
	(601) 649-7939

Map and Direction

Healthcare Provider's Profile

Full Name	Marilyn Smith
Gender	Female
Speciality	Counselor - Mental Health
Location	5192 Highway 11 N, Ellisville, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1265156533
Provider Enumeration Date: 09/30/2022
Last Update Date: 09/30/2022

Medical Identifiers

Medical identifiers for Marilyn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265156533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	588 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marilyn Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Marilyn Smith, CIDDT Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901	Marilyn Smith, CIDDT 5192 Highway 11 N, Ellisville, MS 39437-5050 Ph: (601) 425-3439

Reviews and Comments

Counselor in Ellisville, MS

Leighanne Kittrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 Fax: 601-649-7939
Danielle Porter, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-425-3439
Nancy Keys, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-779-2487
Edie Nicholson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921
Wendy B Celoria, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Lowery Creek Rd, Ellisville, MS 39437 Phone: 602-320-9053
Debra Long, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 Fax: 601-649-7939

Marilyn Smith, CIDDT - Counselor in Ellisville, MS