| Doctor Name: | HEIDI LYNNE SMITH |
| NPI Number: | 1013218619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LIMHP, LADC |
| License Number: | 1100 |
| Business Practice Address: | 11111 M Street Omaha, NE - 681372378 |
| Business Phone Number: | 4025044099 |
| Business Fax Number: | 4025043929 |
| Mailing Address: | 3300 N 60th St, OMAHA |
| State: | NE |
| Postal Code: | 681043402 |
| Phone Number: | 4025540520 |
| Fax Number: | 4025518797 |
| NPI Enumeration Date: | 11/12/2010 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 1100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |