| Doctor Name: | MRS. AISHA-AMINA SMILEY |
| NPI Number: | 1013309681 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 1625 Magnavox Way Ste A Fort Wayne, IN - 468041586 |
| Business Phone Number: | 2604379062 |
| Business Fax Number: | 2604361185 |
| Mailing Address: | 240 N Tillotson Ave, MUNCIE |
| State: | IN |
| Postal Code: | 473043988 |
| Phone Number: | 7652881928 |
| Fax Number: | 7657410335 |
| NPI Enumeration Date: | 02/19/2015 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |