| Mickey O. Smith, Lcsw,pa | |
|
1711 E Central Texas Expy Suite 103 Killeen TX 76541-9166 | |
| (254) 526-7272 | |
| (254) 526-3949 |
| Full Name | Mickey O. Smith, Lcsw,pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1711 E Central Texas Expy, Killeen, Texas |
| Authorized Official Name and Position | Mickey Orb Smith (LCSW, PA) |
| Authorized Official Contact | 2545267272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mickey O. Smith, Lcsw,pa 1711 E Central Texas Expy Suite 103 Killeen TX 76541-9166 Ph: (254) 526-7272 | Mickey O. Smith, Lcsw,pa 1711 E Central Texas Expy Suite 103 Killeen TX 76541-9166 Ph: (254) 526-7272 |
| NPI Number | 1427288257 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 07/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427288257 | NPI | - | NPPES |
| 184183504 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 24960 (Texas) | Primary |
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