| Smith Institute Of Therapy | |
|
13318 Carmella Ct Bristow VA 20136-1033 | |
| (315) 664-1821 | |
| Not Available |
| Full Name | Smith Institute Of Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13318 Carmella Ct, Bristow, Virginia |
| Authorized Official Name and Position | Sara Smith (THERAPIST/OWNER) |
| Authorized Official Contact | 3156641821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Institute Of Therapy 13318 Carmella Ct Bristow VA 20136-1033 Ph: (315) 664-1821 | Smith Institute Of Therapy 13318 Carmella Ct Bristow VA 20136-1033 Ph: (315) 664-1821 |
| NPI Number | 1437977394 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437977394 | NPI | - | NPPES |
| 002262 | Other | NY | MARRIAGE AND FAMILY THERAPY LICENSE |
| 0717002133 | Other | VA | MARRIAGE AND FAMILY THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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