| Organization Name: | KARA M. SMITH, LLC |
| NPI Number: | 1063878221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARA SMITH (MENTAL HEALTH THERAPIST) |
| Mailing Address: | 425 Fairview Ave Suite 1 Ponca City |
| State: | OK US |
| Postal Code: | 746011902 |
| Phone Number: | 5803825772 |
| Fax Number: | 5803825731 |
| NPI Enumeration Date: | 01/04/2016 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5884 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |