| Mr Robert L Smith, MSW | |
|
3407 Shamrock Ct, Gautier, MS 39553-5337 | |
| (228) 497-0690 | |
| (228) 497-1363 |
| Full Name | Mr Robert L Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3407 Shamrock Ct, Gautier, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194168302 | NPI | - | NPPES |
| 00018214 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert L Smith, MSW 3407 Shamrock Ct, Gautier, MS 39553-5337 Ph: () - | Mr Robert L Smith, MSW 3407 Shamrock Ct, Gautier, MS 39553-5337 Ph: (228) 497-0690 |
Ms. Peggy Lynn Fendley, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 | |
Mrs. Jodi Leighann Carlisle, MS COUNSELING PSYCHO Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 | |
Valencia Henderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 | |
Tiffany Alycia Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 | |
Sara Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 | |
Debra Ann Dionne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 | |
Cheryl Murray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 |