Doctor Name: | KARMEN SMITH |
NPI Number: | 1104192079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CRC |
License Number: | IMH 9780 |
Business Practice Address: | 3491 Gandy Blvd N Suite 201 Pinellas Park, FL - 337812658 |
Business Phone Number: | 7275470607 |
Business Fax Number: | |
Mailing Address: | 3491 Gandy Blvd N, Suite 201 PINELLAS PARK |
State: | FL |
Postal Code: | 337812658 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 02/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMH 9780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |