Takesha S Smith, is a
Peer Specialist based in Centralia, Washington. Takesha S Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
2428 W Reynolds Ave, Centralia, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 330-9044.
NPI number for Takesha S Smith is 1609654334 and her current mailing address is 2428 W Reynolds Ave, Centralia, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609654334.
Healthcare Provider's Profile
| Full Name | Takesha S Smith |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2428 W Reynolds Ave, Centralia, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609654334
- Provider Enumeration Date: 09/14/2023
- Last Update Date: 09/14/2023
Medical Identifiers
Medical identifiers for Takesha S Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609654334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG61486780 (Washington) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | 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. Takesha S 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 |
|---|
Takesha S Smith,
2428 W Reynolds Ave,
Centralia, WA 98531-4554
Ph: (360) 330-9044 | Takesha S Smith,
2428 W Reynolds Ave,
Centralia, WA 98531-4554
Ph: (360) 330-9044 |
Reviews and Comments