| Michelle Smith, LPC | |
|
1509 Dorothy Nichols Ln Ste A-2, Smithville, TX 78957-1740 | |
| (512) 575-3125 | |
| Not Available |
| Full Name | Michelle Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1509 Dorothy Nichols Ln Ste A-2, Smithville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467937060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63615 (Texas) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Smith, LPC 1509 Dorothy Nichols Ln Ste A-2, Smithville, TX 78957-1740 Ph: (512) 575-3125 | Michelle Smith, LPC 1509 Dorothy Nichols Ln Ste A-2, Smithville, TX 78957-1740 Ph: (512) 575-3125 |
Charlesetta E Duncan, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Harris St, Smithville, TX 78957 Phone: 512-577-7327 | |
Miranda Claire Blaeuer, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 705 Colorado St, Smithville, TX 78957 Phone: 813-751-9644 |