| Christina G Smith | |
|
6105 Denton Hwy Ste 80 Haltom City TX 76148-3021 | |
| (817) 654-5790 | |
| (817) 221-0588 |
| Full Name | Christina G Smith |
|---|---|
| Speciality | Clinic/Center |
| Location | 6105 Denton Hwy Ste 80, Haltom City, Texas |
| Authorized Official Name and Position | Christina G Smith (OWNER / MANAGER / COUNSELOR) |
| Authorized Official Contact | 8176545790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina G Smith 6105 Denton Hwy Ste 80 Haltom City TX 76148-3021 Ph: (817) 654-5790 | Christina G Smith 6105 Denton Hwy Ste 80 Haltom City TX 76148-3021 Ph: (817) 654-5790 |
| NPI Number | 1689437907 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 3375982242 |
|---|---|
| Medicare Enrollment ID | O20240412000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689437907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christina G Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659767101 PECOS PAC ID: 4284073156 Enrollment ID: I20240412000208 |
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