| Shawanda Smith, | |
|
644 E Jefferson Ave, Bastrop, LA 71220-4619 | |
| (318) 239-3862 | |
| (318) 239-3867 |
| Full Name | Shawanda Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 644 E Jefferson Ave, Bastrop, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124523378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shawanda Smith, 644 E Jefferson Ave, Bastrop, LA 71220-4619 Ph: (318) 239-3862 | Shawanda Smith, 644 E Jefferson Ave, Bastrop, LA 71220-4619 Ph: (318) 239-3862 |
Annie Massey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Curt Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Lee Antwine Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, 209 West Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Randy Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Franklin St, Bastrop, LA 71220 Phone: 318-410-1062 | |
Adrian Burnette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Nicole Dantzler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Felicia Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 |