| Doctor Name: | MISSY M. SMITH |
| NPI Number: | 1003193988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 64761 |
| Business Practice Address: | 860 Hebron Pkwy Lewisville, TX - 750575151 |
| Business Phone Number: | 4694442242 |
| Business Fax Number: | |
| Mailing Address: | 860 Hebron Pkwy, LEWISVILLE |
| State: | TX |
| Postal Code: | 750575151 |
| Phone Number: | 4694442242 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2011 |
| NPI Last Update Date: | 11/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 64761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |